ZipRecruiter

Log In

2

Remote Rn Auditor Jobs in Minnesota (NOW HIRING)

Manulife

$152K - $283K/yr

Health care professional in good standing (MD, DO, RN, PA, NP) * Possess a minimum of 3 years of ... This is a fully remote opportunity. #LI-JH #LI-Remote The role being advertised is an existing ...

UMR

IBR Clinical Review | , |

Minneapolis, MN · Remote

... RN license OR LPN in the state of residence * 2+ years of clinical experience within an acute care setting * 1+ years of experience working with bill review Preferred Qualifications: * Auditing and ...

New

Osv_bioventus

Field Sales Trainer - PNS

Minneapolis, MN · Remote

A minimum of a bachelor's degree required and clinical background is a plus (such as RN, PT, OT, ... This is a remote position. Are you the top talent we are looking for? Apply now! Hit the "Apply ...

Osv_bioventus

Field Sales Trainer - PNS

Minneapolis, MN · Remote

A minimum of a bachelor's degree required and clinical background is a plus (such as RN, PT, OT, ... This is a remote position. Are you the top talent we are looking for? Apply now! Hit the "Apply ...

next page

Showing results 1-20

All JobsRemote Rn Auditor JobsRemote Rn Auditor Jobs in Minnesota

Remote Rn Auditor information

See Minnesota salary details

$19

$32

$45

How much do remote rn auditor jobs pay per hour?

As of Jun 19, 2026, the average hourly pay for remote rn auditor in Minnesota is $32.31, according to ZipRecruiter salary data. Most workers in this role earn between $28.27 and $35.34 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.
More about Remote Rn Auditor jobs
What are popular job titles related to Remote Rn Auditor jobs in Minnesota? For Remote Rn Auditor jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Remote Rn Auditor jobs in Minnesota look for? The top searched job categories for Remote Rn Auditor jobs in Minnesota are:
What cities in Minnesota are hiring for Remote Rn Auditor jobs? Cities in Minnesota with the most Remote Rn Auditor job openings:
Remote Rn Auditor jobs near you

Clinical Claim Review | , |

UnitedHealthcare At Home

Minneapolis, MN • Remote

$29 - $52/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Clinical Claim Review Nurse

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The Clinical Claim Review Nurse performs claim reviews to verify correct coding and correct charges. The clinical reviewer is responsible for documenting, researching state and federal guidelines and following internal procedures to determine the viability of the claim for further review in a production environment. Employees in this position receive limited supervision within a broad framework of policies and procedures and possess a comprehensive understanding of the claim review process including clinical claim review, medical record review, and a broad knowledge of applicable processes, procedures and billing guidelines.

You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:
  • Perform clinical review of professional or facility claims vs. medical records to determine if the claim is supported or unsupported.
  • Maintain standards for productivity and accuracy. Standards are defined by the department
  • Complete analysis of billing and departmental guidelines
  • Provide clear and concise clinical logic to the clients and providers when necessary
  • Participation as needed in the achievement and completion of department goals
  • Complete focused review of medical records to evaluate clinical course of care as applicable
  • Assists with resolution of claims as needed to support negotiations and appeals process
  • Ensue adherence to state and federal compliance policies, reimbursement policies, and contract compliance
  • Maintains appropriate documentation on all claims according to departmental guidelines and procedures
  • Understand and maintain HIPAA confidentiality and privacy standards when completing assigned work

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:
  • Associates degree
  • Active and unrestricted RN license in the state of residence
  • 2+ years of clinical experience within an acute care setting
  • 1+ years of experience in one of the following areas Utilization Management, pre-authorization, claim review, appeals review, or medical record review.
  • Intermediate level of computer skills including proficiency in Microsoft Office, Word, Excel, Outlook, and SharePoint
Preferred Qualifications:
  • Auditing and coding certifications (CPC, COC, CIC, CPB, CPMA) or ability to obtain within 1 year of employment
  • CPT & HCPCS Coding experience
  • Experience working with medical terminology and coding
  • Proven ability to work independently
  • Experience working with plan benefit language and CMS (Medicaid and Medicare)
  • Strong written and verbal communication skills
  • Strong organizational and critical thinking skills

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29.00 to $52.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #GREEN

Apply