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Remote Rn Auditor Jobs in Washington (NOW HIRING)

Cooper Thomas

OP Coder

Washington, DC · On-site +1

$20.50 - $27.50/hr

Remote VA Experienced Outpatient Medical Coders Summary Cooper Thomas, LLC, a leading provider of ... coder or auditor • Ability to follow site-specific coding guidelines • Familiar with E/M ...

Wearlinq

Holter/Cardiac Technologist

Rockville, MD · On-site +1

$22/hr

... RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect for accurate data processing and comprehensive reporting. * A minimum of 1+ years working in a remote ...

WearLinq

Holter/Cardiac Technologist

Rockville, MD · On-site +1

$22/hr

... RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect for accurate data processing and comprehensive reporting. * A minimum of 1+ years working in a remote ...

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Remote Rn Auditor information

See Washington salary details

$22

$37

$52

How much do remote rn auditor jobs pay per hour?

As of Sep 9, 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 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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Remote Rn Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in Washington as of August 2026, with employment types broken down into 3% As Needed, 52% Full Time, 11% Part Time, 2% Temporary, and 32% Contract. Highlights an 94% Physical, and 6% Remote job distribution, with an average salary of $77,716 per year, or $37.4 per hour.

Behavioral Health UM Review

Washington, DC • On-site, Remote

Amerihealth Caritas
Health Care and Social Assistance • 5 - 10K employees
Learn more about Amerihealth Caritasexternal

Full-time

Medical, Retirement, PTO

Posted 27 days ago

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

134th of 315 rated insurance

Job description

Role Overview

Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews. Using clinical knowledge and experience, the clinician reviews provider requests for inpatient and outpatient services, working closely with members and providers to collect all information necessary to perform a thorough medical necessity review. It is within the BH UM Reviewer's discretion to retain requests for additional information and/or request clarification. The BH UM Reviewer will use professional judgment to evaluate the request to ensure that appropriate services are approved and recognize care coordination opportunities and refer those cases to integrated care management as needed. The BH UM Reviewer will apply medical health benefit policy and medical management guidelines to authorize services and appropriately identify and refer requests to the Medical Director when indicated. The BH UM Reviewers are responsible to ensure that treatment delivered is appropriately utilized and meets the member's needs in the least restrictive, least intrusive manner possible. The BH UM Reviewer will maintain current knowledge and understanding of the laws, regulations, and policies that pertain to the organizational unit's business and uses clinical judgment in their application.

Work Arrangement

  • This role will work 4 days a week in the DC office located at 1201 Maine SW; the 5th day of the week is a remote work day.
  • Monday through Friday from 8:00 AM EST to 5:00 PM EST
  • Must work 4 out of 10 recognized company holidays to include Thanksgiving and Christmas (rotating)
  • Must be willing to work 2 to 3 weekends per year. Weekend rotation based on business needs

Education & Experience

  • Registered Nurse candidates: Associate Degree in Nursing required; Bachelor Degree in Nursing preferred
  • Licensed Social Worker candidates: Master Degree in Social Work required
  • Minimum of 2 years of independent clinical practice experience assessing and treating individuals with behavioral health/substance use/co-occurring disorders in an inpatient or outpatient acute care setting

  • Utilization management experience in a managed care organization preferred

Licensure

  • Requirements for LSW: Active and unencumbered professional licensure/independent licensure in DC: LPC, LICSW, LCMHC, LMFT
    • Must have ability to obtain additional licensure in LA, NC, NH and OH within 12 months from date of hire
  • Requirements for RN: Active and unencumbered RN license in DC
    • Must have ability to obtain additional licensure in LA, NC, NH and DC within 12 months from date of hire

Skills & Abilities

  • Proficiency in Microsoft Office, including Word, Excel, Teams, and Outlook
  • Consistent and accurate typing skills
  • Ability to communicate in a positive/professional manner both orally and written
  • Strong problem-solving skills and decision making skills
  • Strong organizational and time management skills
  • Ability to follow detailed instructions with a high degree of accuracy
  • Ability to work independently; complete tasks in the allotted time frame

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

The targeted hiring range for this role is expected to be between $77,700 and 105,900.The range displayed in this job posting reflects the minimum and maximum for new hire salaries for the position in the D.C. office. Within the range, individual pay is determined by additional factors, including, without limitation, job-related skills, experience, and relevant education, certifications, or training.

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We're looking for the next generation of health care leaders.

At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Employment Type: FULL_TIME

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