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Remote Rn Auditor Jobs in North Carolina (NOW HIRING)

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

Job title: RN Utilization Management Reviewer We are currently hiring a talented RN, Utilization ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Duke Health

COMPLIANCE SPECIALIST-Remote

Durham, NC · On-site +1

The Compliance Specialist Auditor will perform coding quality audits of inpatient records to assure ... Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered ...

Duke University

COMPLIANCE SPECIALIST-Remote

Durham, NC · Remote

The Compliance Specialist Auditor will perform coding quality audits of inpatient records to assure ... Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered ...

Duke Health

COMPLIANCE SPECIALIST-Remote

Durham, NC · Remote

The Compliance Specialist Auditor will perform coding quality audits of inpatient records to assure ... Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered ...

Duke University

COMPLIANCE SPECIALIST-Remote

Durham, NC · On-site +1

The Compliance Specialist Auditor will perform coding quality audits of inpatient records to assure ... Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered ...

Sedgwick

RN Field Case Manager

Raleigh, NC · On-site +1

$75K - $96K/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 ...

York Risk Services

RN Field Case Manager

Raleigh, NC · On-site +1

$75K - $96K/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 JobsRn Auditor JobsRemote Rn Auditor JobsRemote Rn Auditor Jobs in North Carolina

Remote Rn Auditor information

See North Carolina salary details

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$29

$42

How much do remote rn auditor jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote rn auditor in North Carolina is $29.98, according to ZipRecruiter salary data. Most workers in this role earn between $26.20 and $32.79 per hour, depending on experience, location, and employer.

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 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?

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 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.

How do I become a remote RN auditor?

To become a remote RN auditor, you typically need a valid registered nurse license, relevant experience in healthcare or medical record review, and knowledge of coding and compliance standards such as HIPAA. Many employers also prefer candidates with certifications like Certified Professional Medical Auditor (CPMA) or Certified Coding Specialist (CCS). Strong attention to detail and proficiency with electronic health record systems are essential for success in this role.
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Cities in North Carolina with the most Remote Rn Auditor job openings:

Remote Rn Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in North Carolina as of August 2026, with employment types broken down into 3% As Needed, 58% Full Time, 14% Part Time, and 25% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $62,359 per year, or $30 per hour.

UTILIZATION MANAGEMENT RN

Liberty Health

Wilmington, NC • Remote

Full-time

Posted 5 days ago

Job description

There’s no place like Liberty Health

Come explore career opportunities with Liberty Health, a dynamic leader in the healthcare industry. Join us!

We are currently seeking an experienced:

UTILIZATION MANAGEMENT RN

JOB SUMMARY:

  • Day-to-day management of Utilization Management queues, dashboards, members, ensuring all Utilization Management activities, which include authorization timeliness, discharge planning, adherence to policies and procedures to ensure high quality and cost-effective utilization management services.
  • Ability to work decision letters timely and accurately
  • Quality monitoring focusing on medical necessity guidelines and discharge planning opportunities to lower levels of care
  • Assist the Director of Utilization Management with the Utilization Management Reports to be reviewed by Executive Leadership.
  • Ability to contribute to the UM team to ensure compliant execution of UM program
  • Review admissions and service requests for the following:
    • Authorization requests to ensure appropriate care for members and within clinical guidelines
    • Monitor members both inpatient/outpatient – provide updates to Director of Utilization Management and the clinical care teams
    • Recommend more appropriate care if required
  • Assess and coordinate discharge planning with Care Team.
  • Assist co-workers with issues related to coding, medical records/documentation, pre-certification reimbursement and claim denials/appeals.
  • Use critical thinking and problem-solving to navigate through the complexities of a member’s health conditions while maintaining coverage within the program guidelines.
  • Ability to focus on interventions for improvement
  • Provides appropriate responses to providers regarding UM questions or direct these questions to the Director of Utilization Management
  • Monitors utilization management queues and dashboards, assuring compliance with reporting and turnaround times.
  • Participates in the interdisciplinary approach to support continuity of care
  • Participates in the Case Management processes and assists with the development of case management programs
  • Ability to participate and contribute with the written policies and procedures and workflows
  • Ability to participate in the On-Call rotation to ensure timeliness is maintained
  • Ability to work occasional after hours to ensure timeliness is maintained.
  • Contribute to and attend UM meetings and UM huddles.
  • Other duties as assigned
  • Less than 10% travel to the corporate office for Department meetings

JOB REQUIREMENTS:

  • Licensed Registered Nurse credentialed from an accredited school/college with 3–5 years of clinical experience
  • Maintain Active Registered Nurse License, (Compact, RN preferred)
  • 1–5 years managed care Utilization Management experience (preferably with a Health Plan)
  • Demonstrated experience in health plan utilization management, initial reviews, facility concurrent review discharge planning, and case management required.
  • Medicare Advantage experience required
  • Experience with InterQual or MCG authorization criteria preferred.
  • Excellent computer skills and the ability to learn new systems are required.
  • Strong attention to detail, organizational skills, and interpersonal skills are required.
  • Demonstrated ability to problem-solve and manage professional relationships.
  • Healthcare industry knowledge
  • Excellent listening, verbal, written and interpersonal communication skills.
  • High level of professionalism and confidentiality, with a strong customer focus.
  • Can adapt well to operational needs with excellent follow-up skills.
  • Must be self-motivated, with a work ethic of dedication and the discipline to work independently.
  • Must have a valid driver’s license.
  • Proven ability to communicate concisely and confidently with all staff levels. Clearly communicates instructions to remote users.

Visit www.libertycareers.com for more information.
Background checks/drug-free workplace.
EOE.

Apply