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Remote Rn Auditor Jobs in Ohio (NOW HIRING)

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 ...

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All 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 Jun 21, 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.

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.
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Remote Rn Auditor jobs near you

Quality Compliance Manager - Remote

PurposeCare

Cincinnati, OH • On-site, Remote

Full-time

Posted 10 days ago

Job description

Position Summary
The Quality Compliance Manager serves as a key partner to operational and clinical leadership, ensuring compliance with federal, state, payer, and company standards. This role is responsible for conducting audits, identifying compliance risks, developing sustainable quality assurance processes, and helping drive accountability across multiple agencies.
The ideal candidate is an experienced Registered Nurse with a strong understanding of Home Health regulations, OASIS, Medicare and Medicaid compliance, post-payment reviews, and quality improvement methodologies. This individual must be comfortable working independently, providing constructive feedback to leaders, and building collaborative relationships across a multi-state organization.
Essential Duties & Responsibilities
Compliance & Quality Assurance
  • Conduct periodic Home Health and Home Care audits based on regulatory and payer requirements.
  • Perform documentation reviews to identify compliance risks, process gaps, and opportunities for improvement.
  • Assist in the development and implementation of post-payment audit processes and ADR review workflows.
  • Compile audit findings and prepare reports for operational and executive leadership.
  • Monitor corrective action plans and follow-up activities to ensure compliance improvements are sustained.
  • Maintain and update CMS filings and regulatory reporting requirements as needed.
  • Support survey readiness efforts and ongoing compliance initiatives.

Process Improvement
  • Develop and refine quality assurance processes, audit tools, reporting structures, and compliance workflows.
  • Analyze trends and identify opportunities to improve operational and clinical performance.
  • Partner with agency leaders to establish accountability and drive compliance initiatives.
  • Assist with policy and procedure review, revision, and implementation.

Leadership & Collaboration
  • Educate agency leaders on regulatory requirements, audit findings, and best practices.
  • Provide constructive feedback and coaching to operational and clinical leaders.
  • Collaborate across Operations, Clinical, Revenue Cycle, and Executive Leadership teams.
  • Serve as a trusted resource for compliance-related questions and process improvement opportunities.

Required Qualifications
  • Active Registered Nurse (RN) license in good standing.
  • Minimum 3-5 years of Home Health experience required.
  • Strong knowledge of Medicare Conditions of Participation and Medicaid regulations.
  • OASIS experience required.
  • Experience conducting clinical audits, quality assurance reviews, compliance monitoring, or survey readiness activities.
  • Foundational understanding of home health billing, reimbursement processes, ADRs, denials, and post-payment reviews.
  • Experience working within multiple EMR systems.
  • Strong Microsoft Excel skills.
  • Excellent organizational, analytical, and problem-solving abilities.
  • Strong written and verbal communication skills.
  • Ability to work independently with minimal supervision.
  • Ability to travel up to 25%.

Preferred Qualifications
  • BSN preferred.
  • Experience supporting both Home Health and Home Care operations.
  • Multi-state compliance experience, particularly in Indiana and Illinois.
  • Experience developing quality assurance programs, audit processes, or compliance workflows.

Experience influencing and driving accountability among leaders who are not direct reports.
Are you searching for a Purpose? PurposeCare is Bringing Healthcare Home, and we want you to join our family
PurposeCare is a leading provider of home care and home health services in the Midwest and provides home-based care services to more than 3,000 clients a month carefully coordinated to keep clients healthy and safe at home. With excellent caregivers and innovative technology, PurposeCare ensures that our most vulnerable are provided with the support necessary to live full lives in their community. Your Care is Our Purpose.
As a growing company we provide:
  • A rewarding career making a difference, changing lives & communities
  • Schedule Flexibility
  • Ongoing growth, training & professional development
  • Mentor, on-call & referral programs
  • Opportunity to apply for positions at our other PurposeCare locations

Apply