ZipRecruiter

Log In

2

Remote Rn Auditor Jobs in Ohio (NOW HIRING)

Ourhrconnect

Coordinator, Medical Affairs

Delaware, OH · On-site +1

... and will be hybrid or remote. The office is located at One Century Plaza, Nashville, TN ... Associate's degree in Nursing with an active RN license. * Required Work Experience : 5 years ...

New

BetterHelp

Licensed Psychologist- Remote

Cleveland, OH · Remote

$650/wk

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

Amerihealth Caritas

Care Manager II

Dublin, OH · Remote

Fully remote position; candidates must reside in Ohio. * Some travel may be required within a 60 ... Current, active, and unrestricted Ohio Registered Nurse (RN) license. * Valid driver's license and ...

SalvoHealth

Medical Assistant, Remote

Cleveland, OH · Remote

$18 - $22/hr

Experience working in a remote setting * Experience making out-bound calls to patients * Strong ... specialty physicians, registered dietitians, nurses, psychologists, and therapists who have ...

next page

Showing results 1-20

All JobsRn Auditor JobsRemote Rn Auditor JobsRemote Rn Auditor Jobs in Ohio

Remote Rn Auditor information

See Ohio salary details

$18

$31

$44

How much do remote rn auditor jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for remote rn auditor in Ohio is $31.36, according to ZipRecruiter salary data. Most workers in this role earn between $27.40 and $34.28 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 Ohio? For Remote Rn Auditor jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Remote Rn Auditor jobs in Ohio look for? The top searched job categories for Remote Rn Auditor jobs in Ohio are:
What cities in Ohio are hiring for Remote Rn Auditor jobs? Cities in Ohio with the most Remote Rn Auditor job openings:
Remote Rn Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in Ohio as of July 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% Remote job distribution, with an average salary of $65,234 per year, or $31.4 per hour.
Manager, Behavioral Health Clinical Liaison/Operations

Manager, Behavioral Health Clinical Liaison/Operations

Amerihealth Caritas

Dublin, OH • Remote

Full-time

Posted 26 days ago

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 72 frontline employees who took The Breakroom Quiz

108th of 281 rated insurance

Job description

Role Overview: The Manager, Behavioral Health Clinical Liaison, is responsible for supporting the development, implementation, and monitoring of programs that promote whole-person integrated physical and behavioral healthcare. This role focuses on improving behavioral health service delivery, supporting cross-functional collaboration, advancing behavioral health equity, and reducing health disparities across the health plan.

Work Arrangement:

  • This role is remote, and the associate must be located in Ohio (OH)
  • Associates must have access to a reliable high-speed internet connection with a minimum download speed of 50 Mbps and an upload speed of 5 Mbps. Fully remote associates residing in states where internet service is required by contract, law, or regulation may be eligible for reimbursement.

Responsibilities:

  • Lead the development, implementation, and monitoring of behavioral health and whole person care initiatives
  • Partner with executive leadership to support integration of behavioral and physical health strategies across the plan
  • Serve as a key resource for behavioral health integration and operational issues across departments.
  • Collaborate with internal teams (Utilization Management (UM), Integrated Health Care Management (IHCM), Long-Term Services and Supports (LTSS) to support care coordination and service delivery.
  • Consult with leadership and stakeholders on behavioral health systems, provider networks, and care management strategies
  • Represent the plan to external stakeholders, including state agencies, providers, advocacy organizations, and community partners.
  • Serve as a liaison with judicial systems, including courts and Department of Health and Hospitals (DHH) representatives, when applicable.
  • Support interdisciplinary case rounds in partnership with clinical leadership to address complex member needs
  • Promote the use of evidence-based practices and nationally recognized clinical guidelines
  • Contribute to the development and review of policies to ensure integration of behavioral health and whole person care principles
  • Support workforce training, professional development, and performance improvement initiatives
  • Partner with Wellness Centers and Mobile Wellness teams to support outreach, screenings, and engagement activities
  • Identify barriers to care and support strategies to improve access to behavioral health services
  • Monitor and analyze data to identify service gaps, trends, and opportunities for improvement
  • Support process improvement initiatives aligned with organizational goals and quality measures, including Healthcare Effectiveness Data and Information Set (HEDIS) outcomes
  • Maintain work plans to track progress of initiatives and programs
  • Ensure equitable access to services and programs for members with behavioral health and substance use needs
  • Participate in enterprise workgroups and committees to support alignment with organizational strategies

Education & Experience:

  • Master’s degree required in a behavioral health-related field
  • 3 years of experience providing mental health and/or substance use screening and treatment services
  • Minimum of 5 years of experience in the provision and supervision of treatment services for mental illness and substance use disorders
  • Experience working in behavioral health systems, including care coordination, program development, or clinical operations
  • Knowledge of integrated care models, whole person care, and trauma-informed care principles
  • Experience collaborating with interdisciplinary teams and external stakeholders
  • Experience supporting quality improvement initiatives and program implementation

Licensure:

  • Independent, current, and unrestricted Ohio license required, including one of the following:
    • Registered Nurse with advance practice registered nurse (APRN)
    • Licensure, Psychologist,
    • Licensed Independent Social Worker (LISW)
    • Licensed Professional Clinical Counselor (LPCC)
    • Independent Marriage & Family Therapist (IMFT)

Skills & Abilities:

  • Strong knowledge of behavioral health service delivery models and integrated care approaches
  • Understanding of evidence-based behavioral health screening and treatment practices
  • Ability to collaborate and build relationships with internal teams, providers, and external stakeholders
  • Strong communication and presentation skills, including interaction with executive leadership and community partners
  • Ability to analyze data, identify trends, and support performance improvement initiatives
  • Problem-solving and critical thinking skills to address barriers to care and improve access
  • Ability to manage multiple priorities and initiatives in a fast-paced environment
  • Organizational and project management skills to support program implementation and tracking

What AmeriHealth Caritas employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply