ZipRecruiter

Log In

2

Remote Rn Auditor Jobs in Washington (NOW HIRING)

Sedgwick

RN Field Case Manager

Washington, DC · Remote

$88K - $112K/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

Washington, DC · Remote

$88K - $112K/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 ...

Sedgwick

RN Field Case Manager

Fairfax, VA · Remote

$79K - $101K/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

Fairfax, VA · Remote

$79K - $101K/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 ...

next page

Showing results 1-20

All JobsRn Auditor JobsRemote Rn Auditor JobsRemote Rn Auditor Jobs in Washington

Remote Rn Auditor information

See Washington salary details

$22

$37

$52

How much do remote rn auditor jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for remote rn auditor in Washington is $37.36, according to ZipRecruiter salary data. Most workers in this role earn between $32.69 and $40.82 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 Washington? For Remote Rn Auditor jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Remote Rn Auditor jobs in Washington look for? The top searched job categories for Remote Rn Auditor jobs in Washington are:
What cities in Washington are hiring for Remote Rn Auditor jobs? Cities in Washington with the most Remote Rn Auditor job openings:
Remote Rn Auditor jobs near you
Integrated Case Manager- Registered Nurse

Integrated Case Manager- Registered Nurse

Sentara Healthcare

Woodbridge, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago

Sentara Health rating

6.9

Company rating: 6.9 out of 10

Based on 391 frontline employees who took The Breakroom Quiz

449th of 885 rated healthcare providers

Job description

City/State
Fairfax, VA
Work Shift
First (Days)
Overview:
Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN.
This is a remote position; however, candidates must reside in Woodbridge and surrounding areas as travel is required.
The Integrated Case Manager is responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services.
Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team. Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs. Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible. Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans. Presents cases at case conferences for multidisciplinary focus. Ensure compliance with regulatory, accrediting and company policies and procedures. May assist in problem solving with provider, claims or service issues.
Demonstrates the minimum knowledge, skills and abilities to care for the individualized needs of the patient to include physical, psychological, socio-cultural, spiritual and cognitive needs as well as functional abilities including the need for diversified use of such practices. Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
Education:
  • Associates
  • Bachelors preferred

Certification:
  • Registered Nurse required

Experience:
  • 3 years of nursing experience required
  • Managed care preferred
  • Discharge planning experience preferred

Keywords: Talroo- Health, Case Management, Managed Care, Discharge Planning
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

What Sentara Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply