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Remote Rn Auditor Jobs in Boston, MA (NOW HIRING)

Adecco

Remote MTM Registered Nurse (RN)

Cumberland, RI · Remote

$35.26/hr

Remote MTM Registered Nurse (RN) Location: Remote (Must reside in a participating Enhanced Nurse Licensure Compact (eNLC) state) Pay Rate: $35.26 / hour Shift: Monday - Friday, 8-hour shift starting ...

Careforth

RN Care Manager

Boston, MA · Remote

$79K - $97K/yr

Through a combination of in-person home visits, remote coaching and our proprietary digital ... As an RN Care Manager, you'll assess needs, create individualized care plans, conduct home visits ...

CVS Health

Case Manager, Registered Nurse

Boston, MA · Remote

$54K - $155K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... A RN who resides in a compact state is required to have an active multistate license through the ...

DataAnnotation

RN

Brockton, MA · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

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How much do remote rn auditor jobs pay per hour?

As of Jun 4, 2026, the average hourly pay for remote rn auditor in Boston, MA is $35.84, according to ZipRecruiter salary data. Most workers in this role earn between $31.35 and $39.18 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
Remote MTM Registered Nurse (RN)

Remote MTM Registered Nurse (RN)

Adecco

Cumberland, RI • Remote

$35.26/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Job description

Remote MTM Registered Nurse (RN)

Location: Remote (Must reside in a participating Enhanced Nurse Licensure Compact (eNLC) state)

Pay Rate: $35.26 / hour

Shift: Monday – Friday, 8-hour shift starting at 9:00 AM ET / 8:00 AM CT

Position Summary

We are seeking a highly skilled and empathetic Registered Nurse to deliver telephonic Medication Therapy Management (MTM). In this role, you will directly improve patient care by conducting telephonic medication reconciliations with high-risk members, identifying medication-related problems, and coordinating resolutions.

You will interact daily with patients, prescribers, caregivers, and internal resources to develop member-specific treatment plans based on nationally recognized guidelines. Using innovative behavioral modification and motivational interviewing techniques, you will empower patients to achieve their health goals and guide them on their path to better health.

Key Responsibilities

  • Perform comprehensive, telephonic medication reviews and reconciliations for high-risk patients.

  • Identify, document, and resolve complex medication-related problems.

  • Communicate clinical recommendations clearly and professionally to prescribers, caregivers, and patients (both verbally and in writing).

  • Utilize motivational interviewing and behavioral modification skills to drive positive health outcomes.

  • Maintain accurate, real-time documentation within multiple internal systems while managing inbound and outbound calls.

Position Requirements

Licensure & Geography:

  • Must hold an active, unrestricted RN license in good standing.

  • Must reside in and hold proof of a participating Compact Licensure state.

Home Office & Technical Infrastructure:

  • A dedicated, quiet workspace free from distractions to ensure strict adherence to HIPAA guidelines.

  • A hard-wired internet connection is mandatory. Your workspace must allow you to plug directly into your modem via an Ethernet cable (wireless/Wi-Fi is not permitted).

  • Candidates must provide their own Ethernet cord and surge protector.

Top Skills We Are Looking For

  1. MTM Delivery Experience: Strong hands-on experience delivering telephonic comprehensive medication reviews, identifying drug-related problems, and communicating clinical recommendations to prescribers.

  2. Call Center & Telephonic Engagement: Comfort handling back-to-back inbound/outbound calls, strong multitasking abilities, and experience with motivational interviewing.

  3. Clinical Knowledge: Strong foundation in chronic disease state management (certifications such as Certified Diabetes Care and Education Specialist are a plus).

Click on apply now for instant consideration!


Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.


Pay Details: $35.26 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.