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Remote Rn Auditor Jobs in Indiana (NOW HIRING)

Description We are seeking a detail-oriented Clinical Auditor Registered Nurse to support medical ... This is a remote position with occasional travel required within Indiana. Key Responsibilities

The Virtual Nurse (VN) at Goshen Health delivers specialized remote healthcare services to patients ... Registered nurse with a valid Indiana State RN license. May 1, 2016, Colleagues hired with an ...

We are seeking a Legal Nurse (Registered Nurse) to join our legal team in a fulltime, remote capacity, with a preferred location in Indiana or Florida . This role provides an opportunity for an ...

RN Field Case Manager

Indianapolis, IN · Remote

$74.60K - $94.60K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. TAKING CARE ...

RN Field Case Manager

Gary, IN · Remote

$77.60K - $98.50K/yr

Must be an RN and prefer to have as least 1.5 years of prior Field Case Manager workers ... remote work environment that allows face to face interaction with injured workers and medical ...

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Remote Rn Auditor information

See Indiana salary details

$18

$31

$44

How much do remote rn auditor jobs pay per hour?

As of May 30, 2026, the average hourly pay for remote rn auditor in Indiana is $31.39, according to ZipRecruiter salary data. Most workers in this role earn between $27.45 and $34.33 per hour, depending on experience, location, and employer.

What Does a Remote RN Auditor Do?

As a remote RN auditor, your job is to review claims and audit financial statements to ensure validity and accuracy. In this role, you may examine documentation from the patient or clinic, evaluate the effectiveness of care, or ensure that claims comply with government regulations. RN auditors often provide advice for cutting costs and contact both healthcare providers and clients to negotiate specific claims or resolve billing issues. Remote RN auditors often work with daily or weekly batches of work as assigned, but in rare cases, you may be asked to prioritize auditing certain material when time is of the essence.

What are the key skills and qualifications needed to thrive as a Remote RN Auditor, and why are they important?

To thrive as a Remote RN Auditor, you need a strong background in nursing, clinical documentation, and auditing practices, typically with an active RN license and experience in medical record review. Familiarity with electronic health record (EHR) systems, coding standards (such as ICD-10 and CPT), and auditing software is essential. Attention to detail, strong analytical thinking, and effective written communication are standout soft skills in this role. These capabilities ensure accurate audits, regulatory compliance, and clear reporting in a remote healthcare environment.

What are some common challenges faced by Remote RN Auditors, and how can they be effectively managed?

Remote RN Auditors often encounter challenges such as navigating complex electronic health record systems, ensuring data accuracy while working independently, and staying updated on frequently changing compliance regulations. To manage these, successful auditors develop strong organizational skills, maintain regular communication with team members, and participate in ongoing training. Proactively seeking clarification on ambiguous cases and leveraging available resources from their organization can also help maintain high-quality audit outcomes and job satisfaction.

What is a Remote RN Auditor?

A Remote RN Auditor is a registered nurse who reviews medical records, clinical documentation, and billing information to ensure compliance with healthcare regulations and standards—all while working remotely. Their primary focus is to verify accuracy in coding, billing, and adherence to clinical guidelines, often for insurance companies, hospitals, or healthcare organizations. They play a crucial role in identifying errors, preventing fraud, and improving the quality of patient care. This job typically requires an active RN license, strong attention to detail, and experience with healthcare compliance and auditing.

What is the difference between Remote Rn Auditor vs Remote Rn Reviewer?

AspectRemote Rn AuditorRemote Rn Reviewer
CertificationsRN license, auditing certifications (e.g., CHAP, RAC)RN license, clinical review certifications
Work EnvironmentHealthcare organizations, insurance companies, auditing firmsHealthcare providers, insurance companies, utilization review
Primary ResponsibilitiesAuditing medical records for compliance, coding accuracy, and billingReviewing medical records for appropriateness and medical necessity

Remote Rn Auditors focus on compliance and coding accuracy through audits, while Remote Rn Reviewers primarily assess medical necessity and appropriateness of care. Both roles require RN licensure and related certifications, often working within healthcare or insurance settings. The key difference lies in their core functions: auditing versus clinical review, though both contribute to quality and compliance in healthcare reimbursement.

What are popular job titles related to Remote Rn Auditor jobs in Indiana? For Remote Rn Auditor jobs in Indiana, the most frequently searched job titles are:
What cities in Indiana are hiring for Remote Rn Auditor jobs? Cities in Indiana with the most Remote Rn Auditor job openings:
Clinical Auditor - RN

Clinical Auditor - RN

Briljent

Indianapolis, IN • Remote

Other

Posted 22 days ago


Job description

Description

We are seeking a detail-oriented Clinical Auditor Registered Nurse to support medical record reviews, billing compliance audits for the Indiana Health Coverage Programs. This role is responsible for evaluating quality of care, reviewing medical records and program policies and identifying compliance issues, preparing audit documentation and reports, and supporting appeals activities. The ideal candidate brings clinical knowledge, regulatory awareness, and strong analytical and writing skills. This is a remote position with occasional travel required within Indiana.


Key Responsibilities

  • Review medical records and related documentation to evaluate provider compliance with Indiana Health Coverage Programs, CMS, AMA, and other applicable standards and regulations.
  • Conduct medical record and compliance reviews independently and provide preliminary findings to the Lead Reviewer.
  • Identify potential documentation deficiencies, and billing compliance issues.
  • Maintain detailed workpapers documenting procedures performed, records reviewed, findings identified, and conclusions reached.
  • Assist with audit responses and appeals as needed.
  • Ensure all work aligns with state, federal, and national healthcare and Medicaid guidelines.
  • Stay current on clinical guidelines, policies, regulations, and Indiana Medicaid program and policy updates.
  • Research Indiana Medicaid rules and maintain internal repositories of bulletins, policies, and procedures.
  • Adapt quickly to changing priorities, policies,  regulatory updates, and review requirements while maintaining accuracy and      meeting deadlines.


Requirements

  • RN license preferred; Indiana license or compact license accepted.
  • Coding certification such as CCS or CPC strongly preferred.
  • Candidate located in or near the Indianapolis area is preferred.
  • At least 1 year of Medicaid claims review, billing compliance, or healthcare reimbursement experience.
  • Familiarity with Indiana Medicaid policies, payer guidelines, and documentation requirements preferred.
  • Knowledge of CPT coding guidelines and ICD-10  standards.
  • Proficiency in Microsoft Excel, Word, and Outlook.
  • Strong analytical, critical thinking, problem-solving, and technical writing skills.
  • Ability to work independently and collaboratively in  a fast-paced environment.
  • Experience working with healthcare providers strongly preferred.
  • Knowledge of healthcare claims data and fraud, waste, and abuse preferred.


Physical Requirements & Environmental Conditions: An employee must meet these physical demands to successfully perform the essential functions of this job. Employee is regularly required to talk or hear, sit, and utilize technology tools such as a laptop computer for extended periods of time. Specific vision abilities include close vision and the ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


Briljent is a solutions-based company.  Solutions come from creative ideas; ideas come from being creative with differences.  Briljent believes diversity and inclusion are critical to the success of the company.  Employment at Briljent is based on merit and professional qualifications.  We do not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, national origin, disability, age, veteran status, marital status or any other basis protected by federal, state or local law, regulation or ordinance.