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Remote Rn Auditor Jobs in Kentucky (NOW HIRING)

King's Daughters

Video Monitor Technician I

Ashland, KY · On-site +1

... remote patient safety monitoring program. Essential Functions • Recognizes and practices within scope of certification and competency, seeking assistance from supervising RN or LPN as needed. • ...

King's Daughters

Video Monitor Technician I

Ashland, KY · On-site +1

... remote patient safety monitoring program. Essential Functions • Recognizes and practices within scope of certification and competency, seeking assistance from supervising RN or LPN as needed. • ...

Lifepoint Health

Appeals Coordinator- Remote

Louisville, KY · Remote

$20.25 - $25/hr

M-F Job Location Type: [Remote] Your experience matters At Lifepoint Health, we are committed to ... What we're looking for Applicants should have a Bachelor's Degree in social work, RN or degree in a ...

Option Care

Chronic Practice Liaison

Frankfort, KY · Remote

$48K - $80K/yr

Clinical experience or exposure (RN, LPN, Pharmacy Technician, etc.) * Experience managing complex ... Minimal travel (up to ~20%) * Primarily remote with virtual engagement Due to state pay ...

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Remote Rn Auditor information

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$17

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How much do remote rn auditor jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for remote rn auditor in Kentucky is $28.65, according to ZipRecruiter salary data. Most workers in this role earn between $25.05 and $31.30 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.

Can you work remotely as an auditor?

Remote Rn Auditor positions are available and typically involve reviewing healthcare documentation and compliance from a home office. These roles often require strong computer skills, familiarity with auditing software, and adherence to confidentiality standards, making remote work feasible for qualified professionals.

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 increase earnings by gaining specialized certifications, such as in coding or compliance, and working for multiple clients or agencies to maximize income. Building a strong reputation and leveraging telehealth platforms can also lead to higher-paying opportunities, but reaching $300,000 annually typically requires extensive experience, advanced skills, and possibly additional roles or consulting work.

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 the highest paying remote nurse job?

The highest paying remote nurse jobs typically include roles such as remote nurse anesthetists, nurse practitioners, and clinical nurse specialists, with salaries often exceeding $100,000 annually. These positions usually require advanced certifications, specialized skills, and experience in telehealth or case management environments.

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 you become a nurse auditor?

To become a nurse auditor, you typically need a registered nurse (RN) license and experience in healthcare or medical billing. Many employers prefer candidates with knowledge of insurance claims, coding, and auditing procedures, and some may require certification such as the Certified Professional Medical Auditor (CPMA).
More about Remote Rn Auditor jobs
What are popular job titles related to Remote Rn Auditor jobs in Kentucky? For Remote Rn Auditor jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Remote Rn Auditor jobs in Kentucky look for? The top searched job categories for Remote Rn Auditor jobs in Kentucky are:
What cities in Kentucky are hiring for Remote Rn Auditor jobs? Cities in Kentucky with the most Remote Rn Auditor job openings:
Remote Rn Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in Kentucky as of July 2026, with employment types broken down into 2% Locum Tenens, 78% Full Time, 16% Part Time, 3% Contract, and 1% Nights. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $59,596 per year, or $28.7 per hour.
HH Clinical Record Auditor

HH Clinical Record Auditor

BrightSpring Health Services

Louisville, KY • On-site, Remote

Full-time

Posted 16 days ago

BrightSpring Health Services rating

4.8

Company rating: 4.8 out of 10

Based on 62 frontline employees who took The Breakroom Quiz

218th of 236 rated social care providers

Job description

Our Company
BrightSpring Health Services
Overview
The Clinical Record Auditor is a clinician that conducts a comprehensive assessment of home health clinical records to ensure clinical documentation requirements are met, that it is clear, reflects the care provided, the patient's response to care, meets regulatory and company requirements, reflects patient eligibility, and supports billing requirements. Informs local operations leadership, and the clinical support team of results to facilitate performance improvement. Identifies and informs upline management and clinical support team of trends and makes recommendations for corrective action.
Responsibilities
  • Performs clinical record reviews to ensure compliance with coverage requirements, physician's orders, care delivery standards, company policy, regulatory requirements, and accreditation standards.
  • Keeps abreast of all company policies/procedures; local/state/federal laws/regulations and accreditation standards.
  • Remains current with ICD-10 Coding changes OASIS guidelines, CMS changes and other agency directives.
  • Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for services.
  • Examines documentation to ensure clinical information is complete and accurate.
  • Review's information contained in records to detect potentially fraudulent or abusive billing practices or vulnerabilities in Medicare or Medicaid payment policies.
  • Abstracts review related data/information accurately and timely on appropriate review tool by the appropriate means.
  • Identifies issues requiring clarification or additional information in the clinical documentation and informs Quality/QAPI team for communication with the appropriate care provider using the established processes.
  • Always maintains medical records confidentiality through proper use of computer passwords, maintenance of secured files, adherence to HIPAA polices.
  • Collaborates with local leadership and the clinical support team in educating local leadership and clinicians to improve documentation for quality reporting based on trends identified during record reviews.
  • Identifies trends and opportunities for performance improvement and works proactively to find solutions.
  • Assist Compliance and/or Quality Team with any chart reviews as requested by state or federal agencies or from payers as well as internal targeted investigations/reviews.
  • Provide support to ensure that clinical information and quality data utilized in profiling and reporting is complete and accurate.
  • Maintains an open and collaborative working relationship with the patient care team and clinical support team.
  • Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following policies, procedures, and guidelines.
  • Completes assignments in a manner that meets or exceeds the quality assurance goal of 98% accuracy. Average six-to-eight-episode reviews per day.
  • Accurate and timely submission of all administrative and review related documents to appropriate parties.
  • Maintains chain of custody on all documents and follows all confidentiality and security guidelines.
  • Communicates with Corporate Compliance department any reportable findings or issues identified during the location assessment that would potentially put the Company at risk.
  • Communicates assessment findings to location leadership and upline management and provides expertise regarding policy interpretation, process improvement and follow-up actions required.
  • Identifies and communicates recommendations for revisions or modifications of company policies, practices and processes as indicated.

Qualifications
  • Active unrestricted RN license
  • Associate degree in Nursing or the equivalent
  • Minimum eight years of clinical experience in a Home Health or Home Care setting required, including a minimum of two years' experience in homecare clinical management and/or operations
  • Must exercise independent judgment, critical thinking, ability to work independently while following CMS guidelines, organizational policies, and procedures
  • Knowledge of current Home Health regulations and operations
  • Medical record abstracting skills required
  • Knowledge of the organization of medical records, medical terminology, and disease process required
  • Strong clinical assessment and critical thinking skills required
  • Excellent verbal and written communication skills required
  • Ability to work independently and meet targeted review numbers
  • Flexibility and strong organizational skills needed
  • Proficiency in computer applications including Microsoft Word and Excel programs. Must be proficient in navigating electronic medical records

About our Line of Business
BrightSpring Health Services provides complementary home- and community-based health solutions for complex populations in need of specialized and/or chronic care. Through the Company's service lines, including pharmacy, home health care, and rehabilitation, we provide comprehensive and more integrated care and clinical solutions in all 50 states to over 475,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and industry-leading quality metrics across its services lines, while improving the health and quality of life for high-need individuals and reducing overall healthcare system costs. For more information, please visit www.brightspringhealth.com. Follow us on Facebook, LinkedIn, and X.
Additional Job Information
Must be proficient in navigating Home Care Home Base.

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