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Remote Rn Auditor Jobs in Boca Raton, FL (NOW HIRING)

The Part-Time QA Nurse is a remote-based RN who plays a critical role in ensuring the clinical documentation integrity, regulatory compliance, and accreditation readiness of our Florida-based home ...

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Remote Rn Auditor information

See Boca Raton, FL salary details

$18

$31

$44

How much do remote rn auditor jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for remote rn auditor in Boca Raton, FL is $31.31, according to ZipRecruiter salary data. Most workers in this role earn between $27.36 and $34.23 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.

What job categories do people searching Remote Rn Auditor jobs in Boca Raton, FL look for?

The top searched job categories for Remote Rn Auditor jobs in Boca Raton, FL are:

What cities near Boca Raton, FL are hiring for Remote Rn Auditor jobs?

Cities near Boca Raton, FL with the most Remote Rn Auditor job openings:

Infographic showing various Remote Rn Auditor job openings in Boca Raton, FL as of August 2026, with employment types broken down into 3% As Needed, 53% Full Time, 16% Part Time, and 28% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $65,115 per year, or $31.3 per hour.

Sr Professional Facility Auditor

Pembroke Pines, FL • Remote

Northwell Health
Hospitals • 10K+ employees

$28 - $53/hr

Full-time

Re-posted 4 days ago


Key responsibilities

  • Conduct comprehensive audits of ICD-10, CPT4, HCPCS, E/M codes, medical supplies, orders, and UB04/revenue codes for both facility and professional services.

  • Lead educational sessions for coders based on audit findings to reinforce compliance with CMS, Medicare, state/federal regulations, and internal policies.

  • Perform accurate coding and charging for complex clinical services, including interventional cardiology, radiology, and vascular procedures.


Northwell Health rating

7.7

Company rating: 7.7 out of 10

Based on 569 frontline employees who took The Breakroom Quiz


Job description

Description

Must reside in the following states: 
AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, and VA.
Job Title: Senior Professional Facility Auditor
Department: Facility Charging and Coding
Location: Remote
Employment Type: Full-Time | Non-Exempt
Salary Range: $28 – $53/hour

Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State’s largest private employer with over 104,000 employees — including members of Northwell Health Physician Partners — who are working to change health care for the better.

About the Role
Nuvance Health is seeking a detail-oriented and experienced Senior Professional Facility Auditor to join our Facility Charging and Coding team. In this role, you will perform in-depth audits of facility and professional coding to ensure clinical documentation supports services rendered. Your expertise in medical terminology, anatomy, physiology, regulatory compliance, and coding guidelines will be essential in driving accuracy and improving documentation and billing practices across our organization.

Key Responsibilities
  • Conduct comprehensive audits of ICD-10, CPT4, HCPCS, E/M codes, medical supplies, orders, and UB04/revenue codes for both facility and professional services.
  • Lead educational sessions for coders based on audit findings to reinforce compliance with CMS, Medicare, state/federal regulations, and internal policies.
  • Stay current with CMS, NGS Medicare, AAPC, and OIG updates, bulletins, and compliance requirements to ensure up-to-date coding standards.
  • Collaborate with physician and hospital coding leadership to identify documentation and coding trends, errors, and improvement opportunities.
  • Perform accurate coding and charging for complex clinical services, including interventional cardiology, radiology, and vascular procedures.
  • Utilize internal systems and applications with a high level of competency to ensure audit accuracy and reporting efficiency.
  • Participate in team meetings, ongoing education, and continuous improvement initiatives to support departmental goals.
  • Maintain high standards for customer service, teamwork, safety, and compliance.
  • Perform additional duties as assigned.

Qualifications
Required:
  • CPC, CCS-P, COC, RHIT – With Coding/Auditing experience, RHIA – With Coding/Auditing experience
  • Outpatient Facility Coding  -  Auditing will include facility coding for Interventional Radiology, Cardiac Cath, Outpatient Surgery, Observation, & Ancillary
  • Advanced knowledge of medical terminology, anatomy, physiology, and federal/state documentation and billing regulations
  • Extensive experience auditing both facility and professional medical coding
  • Proficiency in coding complex encounters and using relevant coding systems and software
Preferred (Not Required):
  • Associate’s degree or higher
  • CIRCC & CCC
  • Coursework in Anatomy and Physiology

Work Conditions
  • Physical Effort: Light – primarily sedentary; may exert up to 10 lbs. of force
  • Working Environment: Generally pleasant; no significant occupational risks
  • Communication: Daily interaction including verbal, written, and participation in team meetings

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