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Remote Rn Auditor Jobs in Clovis, CA (NOW HIRING)

Community Health System

Sr. Auditor, Health Plan

Fresno, CA · On-site +1

$46.52 - $59.20/hr

Overview Remote or Onsite Opportunity! Opportunities for you! * Consecutively recognized as a top ... Nursing, or related field required * Master's Degree Business, Healthcare, or related field ...

Community Health System

Sr. Auditor, Health Plan

Fresno, CA · On-site +1

$80K - $98K/yr

Overview Remote or Onsite Opportunity! Opportunities for you! * Consecutively recognized as a top ... Nursing, or related field required * Master's Degree Business, Healthcare, or related field ...

Community Health System

Sr. Auditor, Health Plan

Fresno, CA · On-site +1

$46.52 - $59.20/hr

Remote or Onsite Opportunity! Opportunities for you! * Consecutively recognized as a top employer ... Nursing, or related field required * Master's Degree Business, Healthcare, or related field ...

All JobsRn Auditor JobsRemote Rn Auditor JobsRemote Rn Auditor Jobs in Clovis, CA

Remote Rn Auditor information

See Clovis, CA salary details

$19

$32

$46

How much do remote rn auditor jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for remote rn auditor in Clovis, CA is $32.77, according to ZipRecruiter salary data. Most workers in this role earn between $28.65 and $35.82 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.
More about Remote Rn Auditor jobs
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What cities near Clovis, CA are hiring for Remote Rn Auditor jobs? Cities near Clovis, CA with the most Remote Rn Auditor job openings:
Remote Rn Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in Clovis, CA as of August 2026, with employment types broken down into 3% As Needed, 53% Full Time, 15% Part Time, and 29% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $68,169 per year, or $32.8 per hour.

Sr. Auditor, Health Plan

Community Health System

Fresno, CA • On-site, Remote

$46.52 - $59.20/hr

Full-time

Re-posted 27 days ago

Job description

Overview

Remote or Onsite Opportunity!

Opportunities for you!

  • Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
  • Free Continuing Education and certification
  • Tuition reimbursement, education programs and scholarships
  • Vacation time starts building on Day 1, and builds with your seniority
  • Free money toward retirement with a 403(b) and matching contributions
  • Great food options with on-demand ordering
  • Free parking and electric charging

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.


Responsibilities

The Senior Auditor oversees and performs financial, operational, and technology audits and other special projects designed to add value and reduce risk to the strategies and objectives of Community Care Health (CCH). Designs and prepares audit programs, conducts fieldwork, prepares work papers, drafts reports, and follows up on management corrective actions in accordance with professional auditing standards. Reviews workpapers, reports, and other documentation prepared by staff, peers, and others.

Qualifications

Education
  • Bachelor's Degree in Accounting, Business, Management, Finance, Healthcare Administration, Information Systems/Computer Science, Nursing, or related field required
  • Master's Degree Business, Healthcare, or related field preferred
Experience
  • 3 years of audit or related experience required
  • Healthcare background, revenue cycle, cost reporting, claims, provider data, health plan, or clinical experience preferred
  • Experience in data analytics (e.g., ACL, SQL) preferred
  • Experience with root cause analysis
  • California Health Plan experience preferred
  • Experience working with QNXT is a plus.
Licenses and Certifications
  • One of the following is required within 1 year of hire or transfer into position:
    • CHIAP - Certified Healthcare Internal Audit Professional
    • CIA - Certified Internal Auditor
    • CISA - Certified Information Systems Auditor
    • CPA - Certified Public Accountant License
    • CHS Approved Audit-Related Certification