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Remote Rn Auditor Jobs in Kansas (NOW HIRING)

CVS Health

Case Manager, Registered Nurse

Topeka, KS · Remote

$54K - $155K/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 ...

York Risk Services

RN Field Case Manager

Overland Park, KS · On-site +1

$77K - $97K/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. Employment ...

Sedgwick

RN Field Case Manager

Overland Park, KS · On-site +1

$77K - $97K/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. Employment ...

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All JobsRemote Rn Auditor JobsRemote Rn Auditor Jobs in Kansas

Remote Rn Auditor information

See Kansas salary details

$17

$29

$41

How much do remote rn auditor jobs pay per hour?

As of Jun 20, 2026, the average hourly pay for remote rn auditor in Kansas is $29.42, according to ZipRecruiter salary data. Most workers in this role earn between $25.72 and $32.16 per hour, depending on experience, location, and employer.

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 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.

How to make 300,000 as a nurse online?

A Remote RN Auditor can potentially earn $300,000 annually by gaining specialized certifications, such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS), and working for multiple healthcare organizations or insurance companies. Building expertise in medical billing, coding, and compliance, along with strong attention to detail and time management, can help increase earning potential in remote nursing roles. High earnings often require extensive experience and the ability to handle complex cases efficiently.

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.

Can an auditor work remotely?

Remote Rn Auditor roles are common, especially in healthcare and insurance industries, where audits can often be conducted using digital documentation and communication tools. These positions typically require strong organizational skills, familiarity with auditing software, and sometimes specific certifications, but they often offer flexible or fully remote work arrangements.

What is the highest paid remote nursing job?

The highest paid remote nursing jobs typically include roles such as Nurse Informaticists, Nurse Consultants, and Remote Nurse Auditors, with salaries often exceeding $100,000 annually. These positions require specialized skills, certifications, and experience in areas like healthcare technology, compliance, or case review, and they often involve independent work with flexible schedules.

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.

How do I become a nurse auditor?

To become a nurse auditor, typically you need a registered nurse (RN) license and experience in healthcare or coding. Many employers prefer candidates with knowledge of medical billing, coding, and auditing, and some may require certification such as the Certified Professional Medical Auditor (CPMA). Gaining relevant experience and obtaining certification can improve job prospects in this specialized field.
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Remote Rn Auditor jobs near you
Clinical Nurse Auditor - Rev Cycle

Clinical Nurse Auditor - Rev Cycle

The University of Kansas Health System

Kansas City, KS • On-site, Remote

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

University Of Kansas Health System rating

7.4

Company rating: 7.4 out of 10

Based on 170 frontline employees who took The Breakroom Quiz

256th of 873 rated healthcare providers

Job description

Position Title
Clinical Nurse Auditor - Rev Cycle
Days - Full Time
Remote
Position Summary / Career Interest:
Duties can include working with pre-certification / authorization / denials teams to assist in obtaining up front authorization for services rendered. Clinical expertise including chart review, peer to peer requirements, and appeal requirements are all required skills/ knowledge needed to perform the job responsibilities. Will assist with denial management and resolution. Will collaborate with HIM, PFS, Case Management and multiple clinical departments to resolve a variety of account problems related to authorization of services and account resolution. Duties in supporting the Clinical Trials business line include reviewing protocols to assist in ensuring services being billed as standard of care are evidenced based and meeting industry guidelines for being billed as SOC. Also assists in the clinical trials area to help ensure all services rendered as part of the trial are identified.
Responsibilities and Essential Job Functions
  • Responsible for decreasing denied and inappropriately paid claims attributable to clinical and/or administrative reasons.
  • Performs utilization review for correct patient setting (IP, OP, Observation) and correct patient status: Medical Necessity, Charge Audit reviews, Missing charges, Undocumented charges, completes documentation to support services per peer standards. Reviews high dollar & high-risk areas like transplants, Cancer Center and Cardiology.
  • Uses clinical expertise to perform ongoing reviews of medical record documentation and clinical pertinence in accordance with peer standards and Medicare Regulations.
  • Assists in tabulations of results and reports to management. Assists with a variety of clinical reviews as requested by members of the healthcare team and provides feedback. Supports process improvement activities to assure medical record compliance with regulatory and accreditation bodies.
  • Collaborates with HIM coding staff and Patient Financial Services to investigate and resolve a variety of account problems related to clinical information.
  • Monitors process effectiveness to identify trends and improvement opportunities. Assists with the development, implementation, and testing process improvement plans.
  • Assists with quality improvement initiatives across the continuum of care as indicated: Authorization, Eligibility, Medical Necessity, Utilization Review, Documentation, Patient Status.
  • Evaluates and resolves issues related to the revenue cycle including medical documentation, utilization review and medical necessity.
  • Assists with documentation support and issue resolution in areas of charge capture, charge master, coding, claim submission and information system.
  • Works with various departments and physician offices as necessary to resolve revenue cycle process conflicts.
  • Provides training to improve revenue cycle processes.
  • Recommends policies and procedures improvements to increase efficiencies in coordination with other areas of the department and with other departments.
  • Provides necessary education and feedback to medical and ancillary staff to improve the overall quality of medical record documentation appropriate patient status orders, and clinical pertinence.
  • Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
  • These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience
  • Bachelor Degree Nursing
  • 2 or more years experience in utilization review, clinical review, or authorizations

Preferred Education and Experience
  • EPIC experience

Required Licensure and Certification
  • Licensed Registered Nurse (LRN) - Multi-State - State Board of Nursing Current State RN license

Time Type:
Full time
Job Requisition ID:
R-54456
Important information for you to know as you apply:
  • The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion.
  • The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu.
  • Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

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About University of Kansas Health System

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Operating within the healthcare industry, The University of Kansas Health System is a renowned medical institution located in Kansas City, KS, United States. Established in 1905, this not-for-profit health system has evolved to offer an extensive range of products and services, which spans across a variety of specialist areas such as cancer care, neurology, cardiology, and organ transplants, among others. The core mission of The University of Kansas Health System is to enhance the health and wellness of individuals and communities by providing world-class healthcare services, quality education and conducting advanced research. They are also known for their unwavering commitment to academic medicine, which sets them apart from their peers.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Kansas City, KS, US

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