ZipRecruiter

Log In

2

Remote Rn Auditor Jobs in Wisconsin (NOW HIRING)

WPS

Medical Review Nurse Analyst

Madison, WI · On-site +1

$70K - $85K/yr

Our Medical Review Nurse Analyst - Registered Nurse (RN) is responsible for reviewing medical ... Work Location We are open to remote work in the following approved states: Colorado, Florida ...

State of Wisconsin

Licensed Practical Nurse

Green Bay, WI · On-site +1

$37.83/hr

The LPN is responsible for performing duties assigned by the registered nurse including assisting ... This position is not eligible for remote work. Shifts: (0.75 FTE) Dodge Correctional Institution ...

Ascension

Registered Nurse Transfer Center

Milwaukee, WI · Remote

$40.41/hr

Remote - Must be within 1 hour of Milwaukee, WI Department: Transfer Center Schedule: Night shift ... Registered Nurse obtained prior to hire date or job transfer date required. * BLS Provider ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

next page

Showing results 1-20

All JobsRemote Rn Auditor JobsRemote Rn Auditor Jobs in Wisconsin

Remote Rn Auditor information

See Wisconsin salary details

$19

$33

$47

How much do remote rn auditor jobs pay per hour?

As of Jun 19, 2026, the average hourly pay for remote rn auditor in Wisconsin is $33.30, according to ZipRecruiter salary data. Most workers in this role earn between $29.13 and $36.39 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.
More about Remote Rn Auditor jobs
What are popular job titles related to Remote Rn Auditor jobs in Wisconsin? For Remote Rn Auditor jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Remote Rn Auditor jobs in Wisconsin look for? The top searched job categories for Remote Rn Auditor jobs in Wisconsin are:
What cities in Wisconsin are hiring for Remote Rn Auditor jobs? Cities in Wisconsin with the most Remote Rn Auditor job openings:
Remote Rn Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in Wisconsin as of June 2026, with employment types broken down into 69% Full Time, 26% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $69,259 per year, or $33.3 per hour.
Medical Review Nurse Analyst

Medical Review Nurse Analyst

WPS

Madison, WI • On-site, Remote

$70K - $85K/yr

Full-time

Medical, Dental, Retirement, PTO

Posted 3 days ago

Job description

U.S. Citizenship is required for this position due to Department of Defense restrictions.
Our Medical Review Nurse Analyst - Registered Nurse (RN) is responsible for reviewing medical records to determine whether services are payable based on TRICARE policy, reference materials, and evidence-based research. This analyst evaluates clinical documentation across a variety of workloads, including but not limited to authorizations, appeals, and medical review claims. This Medical Review Nurse Analyst collaborates closely with internal teams, providers, and external partners to ensure accurate, timely, and compliant review outcomes.Salary Range $70,000 ~ $85,000The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience.
Work LocationWe are open to remote work in the following approved states:
Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin
How do I know this opportunity is right for me? If you:
  • Enjoy reviewing authorization requests by evaluating submitted medical records to determine service eligibility and compliance with TRICARE policy and evidence-based guidelines.
  • Have analyzed clinical documentation for disputed appeals, ensuring accurate interpretation of medical information and appropriate application of policy and criteria.
  • Like to review supporting medical documentation for medical review claims, verifying clinical necessity, completeness, and adherence to regulatory requirements.
  • Can gather, assess, and summarize clinical information needed to support second-level appeal reviews, collaborating with internal stakeholders as required.
  • Enjoy reviewing escalated or high-risk cases requiring specialized clinical knowledge or interpretation.

Minimum Qualifications
  • U.S. Citizenship is required for this position due to Department of Defense restrictions.
  • Bachelor's Degree in Nursing (BSN) or equivalent combination of education and experience.
  • Active Registered Nurse (RN) license in state of practice or a compact nursing license.
  • 3 or more years of experience in healthcare, health policy, clinical research, or a related field.
  • Proven experience conducting research, analyzing information, and summarizing findings.
  • Strong critical thinking, ability to work independently applying sound nursing judgement, creative problem solving, and clinical decision-making skills this includes:
    • Strong organizational skills with the ability to meet deadlines, manage competing priorities, and maintain quality standards.
    • Strong written and verbal communication skills with the ability to communicate complex medical information clearly and concisely.
    • Proficiency in Microsoft Office tools (outlook, Word, Excel, One-Note) and shared document environments.

Preferred Qualifications
  • Working knowledge of medical coding (e.g., ICD-10, CPT, HCPCS); Certification in medical coding.
  • Experience navigating in a multilingual setting.

Remote Work Requirements
  • Wired (ethernet cable) internet connection from your router to your computer.
  • High speed cable or fiber
  • Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).
  • Please review Remote Worker FAQs for additional information.

Benefits
  • Remote work options available
  • Performance bonus and/or merit increase opportunities
  • 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)
  • Competitive paid time off
  • Health insurance, dental insurance, and telehealth services start DAY 1
  • Professional and Leadership Development Programs
  • Review additional benefits: (https://www.wpshealthsolutions.com/careers/)

Who We Are
WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready.
Culture Drives Our Success
WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.
We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition.
Sign up for Job Alerts
FOLLOW US!Instagram
LinkedInFacebookWPS Health BlogThis position supports services under U.S. Department of Defense (DoD) Defense Health Agency (DHA) contract(s). As such, the role is subject to all applicable federal regulations, DoD contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. DoD contractors and their personnel are subject to screening and background investigation prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

Apply