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
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
Registered Dietitian (100% remote)
West Lafayette, IN · Remote
$32 - $38/hr
Remote Registered Dietitian Position RD Nutrition Consultants LLC is seeking a Registered Dietitian ... Proactively collaborate and communicate effectively with physicians, nurses, pharmacists, speech ...
New
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Registered Dietitian (100% remote)
West Lafayette, IN · Remote
$32 - $38/hr
Remote Registered Dietitian Position RD Nutrition Consultants LLC is seeking a Registered Dietitian ... Proactively collaborate and communicate effectively with physicians, nurses, pharmacists, speech ...
New
Registered Nurse Clinic III - Hematology/Oncology - Partial Remote Join our Team We are looking for compassionate, caring people to join our talented staff of health care professionals as we continue ...
Registered Nurse Clinic III - Hematology/Oncology - Partial Remote Join our Team We are looking for compassionate, caring people to join our talented staff of health care professionals as we continue ...
DRG Coder, Registered Nurse
Gary, IN · Remote
$95K - $105K/yr
DRG Coder, Registered Nurse 📍 Remote | Full-Time | 🏥 Healthcare | Clinical Documentation & Coding About the Role We are seeking an experienced DRG Coder / Clinical Auditor (RN) to conduct ...
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DRG Coder, Registered Nurse
Gary, IN · Remote
$95K - $105K/yr
DRG Coder, Registered Nurse 📍 Remote | Full-Time | 🏥 Healthcare | Clinical Documentation & Coding About the Role We are seeking an experienced DRG Coder / Clinical Auditor (RN) to conduct ...
Registered Nurse Clinic III - Hematology/Oncology - partial remote
Newburgh, IN · On-site +1
$28.71 - $40.19/hr
Current state appropriate licensure as a Registered Nurse. * CPR provider certification required. Staggered Remote Position * This position requires 3 months of in department training * After ...
Registered Nurse Clinic III - Hematology/Oncology - partial remote
Newburgh, IN · On-site +1
$28.71 - $40.19/hr
Current state appropriate licensure as a Registered Nurse. * CPR provider certification required. Staggered Remote Position * This position requires 3 months of in department training * After ...
Virtual Care Registered Nurse
Fort Wayne, IN · On-site +1
*This is not a remote position* Summary Independently plans and provides excellent professional ... Licensure/Certification Valid Indiana Registered Nurse license or current active multi-state ...
Virtual Care Registered Nurse
Fort Wayne, IN · On-site +1
*This is not a remote position* Summary Independently plans and provides excellent professional ... Licensure/Certification Valid Indiana Registered Nurse license or current active multi-state ...
Virtual Care Registered Nurse
Fort Wayne, IN · On-site +1
*This position is located in Fort Wayne, Indiana it is is NOT a remote role. Summary Independently ... Licensure/Certification Valid Indiana Registered Nurse license or current active multi-state ...
Virtual Care Registered Nurse
Fort Wayne, IN · On-site +1
*This position is located in Fort Wayne, Indiana it is is NOT a remote role. Summary Independently ... Licensure/Certification Valid Indiana Registered Nurse license or current active multi-state ...
Virtual Registered Nurse-Day Shift
Mishawaka, IN · On-site +1
This is NOT a remote position*** We count on the VRNs to be mentors and to be able to talk our nurses through care, such as removing a central line or providing Foley care. Must have 2 years of RN ...
Virtual Registered Nurse-Day Shift
Mishawaka, IN · On-site +1
This is NOT a remote position*** We count on the VRNs to be mentors and to be able to talk our nurses through care, such as removing a central line or providing Foley care. Must have 2 years of RN ...
Virtual Care Support RN PRN
Lafayette, IN · On-site +1
PRN shift available - Onsite in person attendance required, this is NOT a Remote position ... Licensed as a Registered Nurse (RN) with a valid license to practice in the state or as listed in ...
Virtual Care Support RN PRN
Lafayette, IN · On-site +1
PRN shift available - Onsite in person attendance required, this is NOT a Remote position ... Licensed as a Registered Nurse (RN) with a valid license to practice in the state or as listed in ...
RN Virtual Nurse
Goshen, IN · On-site +1
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 ...
RN Virtual Nurse
Goshen, IN · On-site +1
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 ...
Astyra Corporation is seeking a remote position focusing on clinical expertise to review medical records to meet contract requirements. The role requires an active clinical license in Indiana or a ...
Astyra Corporation is seeking a remote position focusing on clinical expertise to review medical records to meet contract requirements. The role requires an active clinical license in Indiana or a ...
RCS Quality Expert CC
Indianapolis, IN · On-site +1
$17.25 - $23.25/hr
Requires RHIA, RHIT, CCS, CCS-P, CPC, CIC, or COC, or an active Registered Nurse (RN) license in ... auditing, denial management and medical record completion. * Requires ability to read, understand ...
RCS Quality Expert CC
Indianapolis, IN · On-site +1
$17.25 - $23.25/hr
Requires RHIA, RHIT, CCS, CCS-P, CPC, CIC, or COC, or an active Registered Nurse (RN) license in ... auditing, denial management and medical record completion. * Requires ability to read, understand ...
Legal Nurse
Marion, IN · Remote
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 ...
Legal Nurse
Marion, IN · Remote
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 ...
REMOTE- We are looking for someone located in the Midwest area, with strong preference in Indiana ... Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the state of practice required.
REMOTE- We are looking for someone located in the Midwest area, with strong preference in Indiana ... Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the state of practice required.
Community Health Network in Indianapolis, Indiana, is seeking a Denials Management Registered Nurse (RN) to research, analyze, and appeal third-party payer denials. Requirements include 5 years of ...
Community Health Network in Indianapolis, Indiana, is seeking a Denials Management Registered Nurse (RN) to research, analyze, and appeal third-party payer denials. Requirements include 5 years of ...
Manages a team of remote direct reports while adapting to the specific accountability needs of the ... Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse ...
Manages a team of remote direct reports while adapting to the specific accountability needs of the ... Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse ...
Case Manager, Registered Nurse (Oncology experience required)
Indianapolis, IN · Remote
$54.10K - $155.54K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... A RN who resides in a compact state is required to have an active multistate license through the ...
Case Manager, Registered Nurse (Oncology experience required)
Indianapolis, IN · Remote
$54.10K - $155.54K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... A RN who resides in a compact state is required to have an active multistate license through the ...
Case Manager, Registered Nurse (Oncology experience required)
Indianapolis, IN · Remote
$54.10K - $155.54K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... A RN who resides in a compact state is required to have an active multistate license through the ...
Case Manager, Registered Nurse (Oncology experience required)
Indianapolis, IN · Remote
$54.10K - $155.54K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... A RN who resides in a compact state is required to have an active multistate license through the ...
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
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 ...
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 ...
Remote Rn Auditor information
See Indiana salary details
$18.76 - $21.09
6% of jobs
$21.09 - $23.41
6% of jobs
$23.41 - $25.74
3% of jobs
$27.24 is the 25th percentile. Wages below this are outliers.
$25.74 - $28.07
15% of jobs
$28.07 - $30.40
17% of jobs
The median wage is $30.72 / hr.
$30.40 - $32.73
23% of jobs
$33.56 is the 75th percentile. Wages above this are outliers.
$32.73 - $35.06
15% of jobs
$35.06 - $37.39
8% of jobs
$37.39 - $39.72
0% of jobs
$39.72 - $42.05
0% of jobs
$42.05 - $44.38
7% of jobs
$18
$31
$44
How much do remote rn auditor jobs pay per hour?
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?
What are some common challenges faced by Remote RN Auditors, and how can they be effectively managed?
What is a Remote RN Auditor?
What is the difference between Remote Rn Auditor vs Remote Rn Reviewer?
| Aspect | Remote Rn Auditor | Remote Rn Reviewer |
|---|---|---|
| Certifications | RN license, auditing certifications (e.g., CHAP, RAC) | RN license, clinical review certifications |
| Work Environment | Healthcare organizations, insurance companies, auditing firms | Healthcare providers, insurance companies, utilization review |
| Primary Responsibilities | Auditing medical records for compliance, coding accuracy, and billing | Reviewing 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.
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.
About Briljent
Sourced by ZipRecruiter
Industry
Business schools and computer and management training
Company size
51 - 200 Employees
Headquarters location
Fort Wayne, IN, US
Year founded
1998