ZipRecruiter

Log In

2

Remote Rn Auditor Jobs in Edmond, OK (NOW HIRING)

Humana

Compliance Audit Nurse

Oklahoma City, OK · On-site +1

Active Registered Nurse, RN, license in the state of Oklahoma with no discrepancies * 3+ years ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Compliance Audit Nurse

Oklahoma City, OK · On-site +1

Active Registered Nurse, RN, license in the state of Oklahoma with no discrepancies * 3+ years ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Humana

Compliance Audit Nurse

Oklahoma City, OK · On-site +1

Active Registered Nurse, RN, license in the state of Oklahoma with no discrepancies * 3+ years ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Corvel

Care Advocate Nurse

Oklahoma City, OK · Remote

$61K - $98K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...

Scribe-X

Remote Medical Scribe

Oklahoma City, OK · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

Scribe-X

Remote Medical Scribe

Norman, OK · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

Scribe-X

Medical Scribe (Remote)

Oklahoma City, OK · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Summary of Position Description: The Scribe-X medical scribe is a critical member ...

Scribe-X

Medical Scribe (Remote)

Oklahoma City, OK · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Summary of Position Description: The Scribe-X medical scribe is a critical member ...

All JobsRn Auditor JobsRemote Rn Auditor JobsRemote Rn Auditor Jobs in Edmond, OK

Remote Rn Auditor information

See Edmond, OK salary details

$17

$29

$42

How much do remote rn auditor jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for remote rn auditor in Edmond, OK is $29.81, according to ZipRecruiter salary data. Most workers in this role earn between $26.06 and $32.60 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.
More about Remote Rn Auditor jobs

What job categories do people searching Remote Rn Auditor jobs in Edmond, OK look for?

The top searched job categories for Remote Rn Auditor jobs in Edmond, OK are:

What cities near Edmond, OK are hiring for Remote Rn Auditor jobs?

Cities near Edmond, OK with the most Remote Rn Auditor job openings:

Remote Rn Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in Edmond, OK as of August 2026, with employment types broken down into 3% As Needed, 53% Full Time, 15% Part Time, and 29% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $61,996 per year, or $29.8 per hour.

Compliance Audit Nurse

Humana

Oklahoma City, OK • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 267 frontline employees who took The Breakroom Quiz

170th of 315 rated insurance

Job description

Become a part of our caring community
The Compliance Audit Nurse is responsible for auditing care management activities and documentation to ensure adherence to policies, procedures, and regulations. The Compliance Audit Nurse work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Compliance Audit Nurse ensures mandatory reporting completed. Conduct and summarize compliance audits. Collect and analyze data daily, weekly, monthly or as needed to assess outcome and operational metrics for the team and individuals. Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Follow established guidelines/procedures.


Use your skills to make an impact

Required Qualifications

  • Bachelor's degree in Nursing
  • Active Registered Nurse, RN, license in the state of Oklahoma with no discrepancies
  • 3+ years clinical nursing experience
  • 1+ years Prior Compliance Auditing experience in healthcare
  • Proficient with Microsoft Office products including Word, Excel and Outlook
  • Must reside in the state of Oklahoma

Preferred Qualifications

  • Previous Medicare/Medicaid experience
  • Previous experience in utilization management, case management, discharge planning and/or home health or rehab
  • Certification in Case Management a plus (CCM)

Additional Information

Workstyle - Remote work at Home with the ability to travel to the office for meetings and trainings as needed.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$71,100 - $97,800 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

What Humana employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Humana logo

About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

FacebookTwitter

View All Humana Jobs

Apply