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Remote Rn Auditor Jobs in Washington (NOW HIRING)

CINQCARE

Transition of Care Nurse

Washington, DC · Remote

Maintain active RN licensure and adhere to professional nursing standards and scope of practice ... Experience providing telephonic or remote patient support preferred. * Familiarity with post-acute ...

DataAnnotation

Registered Nurse - AI Trainer

Alexandria, VA · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

Registered Nurse - AI Trainer

Washington, DC · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

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All JobsRemote Rn Auditor JobsRemote Rn Auditor Jobs in Washington

Remote Rn Auditor information

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$22

$37

$52

How much do remote rn auditor jobs pay per hour?

As of Jun 21, 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.

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
Nurse Case Manager-NOVA, VA

Nurse Case Manager-NOVA, VA

Sentara Healthcare

Manassas, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 385 frontline employees who took The Breakroom Quiz

487th of 874 rated healthcare providers

Job description

City/State
Manassas, VA
Work Shift
First (Days)
Overview:
Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Northern Virginia, VA
This is a Full Time position with day shift hours and great benefits!
Requires travel to conduct face-to-face home visits in members' homes or other locations throughout the Northern Virginia Region, VA (including Arlington, Manassas, Bristow, Haymarket, Woodbridge, Front Royal, and Warrenton).
Preferred residence locations include:
  • Manassas, VA
  • Bristow, VA
  • Haymarket, VA
  • Prince William County area
  • Warrenton, VA / Fauquier County area (also considered)

Primary responsibilities include:
  • 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. Ensures compliance with regulatory, accrediting and company policies and procedures
  • May assist in problem solving with provider, claims or service issues

Education
  • Associates or Bachelors Degree in Nursing

Certification/Licensure
  • Registered Nurse License (RN) - Nursing License - Compact/Multi-State License required.

Experience
  • 3 years experience in Nursing
  • Discharge planning experience preferred
  • Managed Care experience preferred
  • Preferred: Private duty nursing and knowledgeable with ventilators in a facility or home

Keywords: Care Coordination, Case Management, Human Services, Community Health, Health Education, RN Case Manager, Registered Nurse, BSN, ADN, Private Duty, Ventilator, LinkedIn, Talroo-Nursing ,Manassas, Bristow, Haymarket, Prince William County ,Warrenton, VA , Fauquier County area
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.

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