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Remote Rn Auditor Jobs in Albuquerque, NM (NOW HIRING)

ZOLL LifeVest

Patient Service Representative

Albuquerque, NM · Remote

$17 - $21.50/hr

Patient Service Representative (PSR) Remote independent contract worker position Competitive fee ... Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ...

ZOLL Medical

Patient Service Representative

Albuquerque, NM · Remote

$17 - $21.50/hr

Patient Service Representative (PSR) Remote independent contract worker position Competitive fee ... Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ...

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$19

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How much do remote rn auditor jobs pay per hour?

As of May 28, 2026, the average hourly pay for remote rn auditor in Albuquerque, NM is $31.98, according to ZipRecruiter salary data. Most workers in this role earn between $27.98 and $34.95 per hour, depending on experience, location, and employer.

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.

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 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 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.

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Remote Rn Auditor jobs near you

Strategic Clinical Quality Manager - New Mexico/ El Paso Region

Fesenius Medical Care

Albuquerque, NM • Remote

Full-time

Posted 13 days ago

Job description

Position location: You will be able to work remotely, from your home location, in theUnited States

This is a remote opportunity within the Colorado/New Mexico operational area! The individual selected must reside in the Colorado/New Mexico Region. Travel required!

80% Travel Required - multiple area assignments

Position covers all 3 modalities

PURPOSE AND SCOPE:

The Clinical Quality Manager is responsible for developing, implementing, and monitoring quality assurance and performance improvement (QAPI) programs to ensure the highest standards of patient care and regulatory compliance. This role oversees clinical outcomes, coordinates quality initiatives, ensures adherence to regulations, and collaborates with the interdisciplinary team to drive continuous improvement in patient safety and clinical quality performance. The scope of the clinical quality oversight of the position covers assigned treatment modalities (e.g. in-center, home modalities, or home hemodialysis and home peritoneal dialysis)

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Lead or participate in the clinic's Quality Assessment and Performance Improvement (QAPI) program in alignment with CMS, state, and organizational standards.
  • Develop and implement action plans to address deficiencies and improve care delivery.
  • Conduct regular audits and quality reviews to ensure compliance with clinical policies & procedures.
  • Facilitate staff education and training related to quality improvement, patient safety, and best practices.
  • Collaborate with physicians, nurses, dietitians, social workers, and leadership to support evidence-based clinical initiatives.
  • Prepare and present quality reports to clinic leadership and governing bodies.
  • Ensure accurate documentation, data collection, and reporting for internal and external stakeholders.
  • Promote a culture of accountability, safety, and continuous improvement within the clinic.
  • Manages the execution and achievement of Quality key performance indicators (assigned by Quality leadership team) and other clinical initiatives, interventions and standardized education materials with clinic teams within the assigned area(s).
  • Performs other related duties as assigned.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

  • The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
    • Day-to-day work includes desk and personal computer work and interaction with facility staff and physicians.
  • The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
  • Field: The position requires travel between assigned facilities and various locations within the community, approx. 60%-80%.

Travel to Regional, Division and Corporate meetings may be required.

  • Remote: The position could require travel up to 10-15%

SUPERVISION:

  • None

EDUCATION AND REQUIRED CREDENTIALS:

  • Registered Nurse required
  • BSN or bachelor's degree in healthcare-related field preferred (or equivalent experience).
  • Certification in Nephrology Nursing or quality preferred

EXPERIENCE AND SKILLS:

  • 3+ years of dialysis experience required.
  • 2+ years' experience in a leadership role.
  • Strong organizational, critical thinking and customer service skills.
  • Demonstrated leadership competencies and adaptability to changes in priorities
    • Ability to work collaboratively with other members of the team, gain support and input while participating in quality improvement activities.
  • Strong verbal and written communications skills.
  • Ability to analyze and propose alternate solutions, assist in resolving sensitive to complex issues

If your location allows for pay/benefit transparency, please click the link below to request further information on this position.

Pay Transparency Request Form

Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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