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Remote Rn Auditor Jobs in Missouri (NOW HIRING)

Ellisville Rehabilitation and Nursing

MDS RN

Ballwin, MO · On-site +1

$34.75 - $45.50/hr

Part-Time MDS RN - Partial Remote Option - Ellisville Rehabilitation and Nursing Ellisville, MO | Skilled Nursing Facility | Flexible Part-Time/Remote Option Ellisville Rehab and Nursing is seeking a ...

Americare

Regional Nurse Consultant (RN)

Saint Louis, MO · On-site +1

$85K - $100K/yr

Regional Nurse Consultant (RN) - Assisted Living Americare Senior Living is seeking an experienced ... auditing, education, and consultation. Why this role stands out: * Salary: $85,000 + $15,000 bonus ...

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How much do remote rn auditor jobs pay per hour?

As of May 29, 2026, the average hourly pay for remote rn auditor in Missouri is $30.94, according to ZipRecruiter salary data. Most workers in this role earn between $27.07 and $33.85 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.

More about Remote Rn Auditor jobs
What are popular job titles related to Remote Rn Auditor jobs in Missouri? For Remote Rn Auditor jobs in Missouri, the most frequently searched job titles are:
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What cities in Missouri are hiring for Remote Rn Auditor jobs? Cities in Missouri with the most Remote Rn Auditor job openings:
Remote Rn Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in Missouri as of May 2026, with employment types broken down into 6% Internship, 77% Full Time, 11% Part Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $64,363 per year, or $30.9 per hour.
Remote - PFS Denials Nurse Auditor

Remote - PFS Denials Nurse Auditor

Mosaic Life Care

Saint Joseph, MO • On-site, Remote

Full-time

Medical, Vision, Life

Posted 6 days ago

Mosaic Life Care rating

6.4

Company rating: 6.4 out of 10

Based on 61 frontline employees who took The Breakroom Quiz

627th of 864 rated healthcare providers

Job description

Job Description
The Denials Nurse Auditor works under the supervision of the manager of PFS Denials. The Denials Nurse Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to determine the appropriate actions for post-billing denials. This Individual will combine clinical, financial, and regulatory knowledge and skill to reduce financial risk and exposure caused by payer denials for rendered services. The Denials Nurse Auditor has highly developed knowledge and skills in areas of: Medical Necessity, Authorizations, Experimental/Investigational denials, payer audits and filing appeals as well as Government and Non-Government payor requirements with Denial Management.
Responsibilities
  • Completes clinical review of appropriate post-claim denials; prepares clinical discussion and appeal letters for denied accounts.
  • Consults clinical and hospital appeal guidelines; provides appeal direction using payer guidelines to appropriate departments via monthly denials meetings.
  • Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement.
  • Reviews and analyzes specific audit information and provides education to other caregivers both internal and external to the PFS Denial Management team. Identifies, and initiates clinical and hospital quality improvement initiatives focused on improving both quality indicators and outcomes.
  • Responds to all internal and external requests for information, data, and/or education specific to clinical and hospital Denial Management.
  • Collaborates with Revenue Cycle, Admissions, Coding, and other departments as needed to answer clinical questions specific to denial management. Seeks consultation from appropriate departments as required to expedite clinical review of potential denials.
  • Researches industry best practices and recommends process improvements to leadership.
  • Participates in the review of workflow processes. Recommends and participates in the implementation of process improvements.
  • Recommends policies which support the direction of the Denials Management Team to improve and reduce denials.
  • Responsible for other miscellaneous duties assigned by PFS Leadership.
  • Other duties as assigned.

Education
  • Bachelor's Degree - Graduate of school of nursing, BSN - Required

Work Experience
  • 5 Years - Experience in health care as a registered nurse, preferably in revenue cycle. - Required
  • Excellent understanding of financial and health care strategies. - Required

Licenses and Certifications
  • Registered Nurse (RN) - State Licensure/Or Compact State Licensure - Registered Nurse license by the State of Missouri - Required Upon Hire

Travel Requirements
Qualifications
Skills and Abilities
Essential Technical/Motor Skills
  • Input data, type, manipulate small equipment, speak clearly, and answer telephone.

Interpersonal Skills
  • Exceptional oral/written communication skills
  • Ability to independently research using critical thinking skills
  • Effectively resolve complex denials
  • Excellent organizational skills and attention to detail
  • Competence in Microsoft Office applications

Essential Physical Requirements
  • Lifting, moving, reaching, bending, stooping, and climbing.

Essential Mental Abilities
  • Analyze, interprets, calculates, manipulates, understands, follows rules, memorize, organize, assess, explain, speak in front of group.

Essential Sensory Requirements
  • Visual skills, hearing

Exposure to Hazards
  • Electrical output of personal computer, eye/neck strain.

Other Skills and Abilities
About Us
Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care.
Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.

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