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Remote Rn Auditor Jobs in Bethesda, MD (NOW HIRING)

WearLinq

Holter/Cardiac Technologist

Rockville, MD · Remote

$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 Bethesda, MD salary details

$21

$35

$49

How much do remote rn auditor jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for remote rn auditor in Bethesda, MD is $35.36, according to ZipRecruiter salary data. Most workers in this role earn between $30.91 and $38.65 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.

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.

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 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.

Can you work remotely as a remote RN auditor?

Yes, remote RN auditors can often work from home, as the role primarily involves reviewing medical records and documentation electronically. Strong computer skills, familiarity with auditing software, and relevant nursing licensure are typically required, and employers may set specific remote work policies or schedules.
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Remote Rn Auditor jobs near you

Clinical Care Coordinator

Medicalincs, LLC

Silver Spring, MD • Remote

Part-time

Re-posted 20 days ago

Job description

The Clinical Care Coordinator is a licensed healthcare professional and a vital member of a multidisciplinary team, providing comprehensive, client- and family-centered care management services. This role supports individuals with disabilities and complex healthcare needs through individualized plans of care that promote care coordination, continuity, quality outcomes, and community inclusion. Guided by Medicalincs’ mission and core values, the Clinical Care Coordinator manages an assigned caseload in accordance with the Case Management Society of America (CMSA) definition of case management and ethical standards. The position might include monthly in-person visits across Maryland in client homes, nursing facilities, schools, and other residential or care settings, as well as regular collaboration with interdisciplinary team members.


Key Responsibilities & Competencies


  • Facilitate admission to a discharge from care management services
  • Apply the case management process to guide service delivery
  • Develop and maintain individualized plans of care, including desired outcomes
  • Coordinate services and supports to ensure plan implementation and compliance with contractual and regulatory requirements
  • Monitor ongoing services, utilization, and cost-effectiveness; recommend plan modifications as needed
  • Evaluate desired versus actual outcomes and document progress
  • Identify and recommend cost-effective alternatives to care
  • Serve as a clinical resource to community service providers
  • Maintain ongoing communication with clients, families, and healthcare team members
  • Convene, attend, and actively participate in multidisciplinary team meetings
  • Deliver services through a combination of on-site visits and virtual/remote engagements
  • Maintain accurate, timely, and complete care management records
  • Document client interactions in the client database within 48 hours of contact
  • Ensure compliance with HIPAA and all applicable professional standards


Qualifications


  • Bachelor of Science in Nursing (BSN) with active Registered Nurse (RN) license or
  • Master's degree in social work (MSW) with active LMSW or LCSW-C license
  • Degree must be from an accredited college or university or equivalent education and experience
  • CCM (Certified Case Manager) certification preferred; required within two years of hire
  • Minimum three (3) years of professional experience in one or more of the following: Pediatric intensive care nursing, Ambulatory health care, Rehabilitation nursing, Clinical social work in a community-based setting with individuals with complex healthcare needs
  • Demonstrated clinical competence and ability to work independently with minimal supervision
  • Active state licensure and current malpractice insurance (maintained at all times)
  • Maintenance of applicable professional certifications (e.g., CCM, RN, LCSW-C)
  • Valid driver's license, reliable transportation, and proof of automobile insurance
  • Ability to travel throughout Maryland
  • Designated home office meeting all HIPAA requirements
  • Ability to telework from a home-based office
  • High-speed internet access
  • Proficiency with Microsoft Office Suite (Word, Excel, Access, Outlook), databases, and remote communication/documentation tools
  • Excellent organizational, prioritization, and interpersonal skills


Professional Expectations


The successful candidate will consistently demonstrate:

  • A positive and collaborative attitude that supports the care management team
  • Commitment to Medicalinc's mission, values, and person-centered, family-centered, and cultural competent care philosophy
  • Engagement in continuous quality improvement within a collaborative governance model
  • Flexibility and adaptability in a changing healthcare and regulatory environment


Physical Requirements


The physical demands listed here represent those required to perform the essential duties of the position:

  • Regularly required to talk, hear, stand, walk, sit, and use hands and arms
  • Frequently lifts and moves objects up to 10 pounds
  • Vision abilities include close vision and the ability to adjust focus
  • Required to travel to client homes, schools, physician offices, and healthcare facilities
  • Required to document care activities on a laptop within established timeframes


Other Duties

This job description is not intended to be an exhaustive list of all duties, responsibilities, or activities required of the position. Duties may change at any time with or without notice.


Medicalincs is a healthcare business and clinical management services firm dedicated to improving organizational performance through human-centered, integrated, and cost-effective care solutions. Founded in 2013 and launched in 2017, Medicalincs has achieved measurable improvements in health outcomes, cost savings, and return on investment for clients across Maryland, the District of Columbia, and Virginia by linking silos across healthcare delivery systems. Guided by its mission to deliver high-quality, continually improving care that preserves and saves lives, Medicalincs operates on the THICKE philosophy—Trusted, Hearty, Innovative, Committed, Kaizen, and Equity—and brings deep clinical, business, and technical expertise to advance population health and sustainable care models.