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Remote Rn Auditor Jobs in Elgin, IL (NOW HIRING)

Guidehealth

Remote RN Case Manager

Chicago, IL · On-site +1

As a registered nurse with an Illinois nursing license, you will work remotely to enhance the ... Previous remote and/or telephonic work experience. * Basic knowledge of case management principles ...

Medcor Inc

Call Center Triage RN-Remote

Mchenry, IL · Remote

$28/hr

Medcor is looking to hire full-time Telephonic Registered Nurses for our remote 24/7 Occupational Health triage call center! The hours for this position include 8 or 10 hour shifts between the hours ...

New

Corvel

Case Management Supervisor RN

Downers Grove, IL · Remote

$76.21K - $117.66K/yr

This is a remote position. ESSENTIAL FUNCTIONS &RESPONSIBILITIES: * Responsible for directing a ... Current RN licensure in state of operation * 3 or more years of recent clinical experience ...

Corvel

Case Management Supervisor RN

Downers Grove, IL · Remote

$77.96K - $120.37K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Responsible for directing a ... Current RN licensure in state of operation * 3 or more years of recent clinical experience ...

Phamily

Clinical Care RN

Oakbrook Terrace, IL · Remote

$75K - $95K/yr

This position is remote and offers health benefits as well as a retirement plan and paid days off ... Collaborate with RNs, NPs, and Social Workers to ensure timely escalation and follow-through Key ...

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Remote Rn Auditor information

See Elgin, IL salary details

$19

$32

$46

How much do remote rn auditor jobs pay per hour?

As of Jun 4, 2026, the average hourly pay for remote rn auditor in Elgin, IL is $32.61, according to ZipRecruiter salary data. Most workers in this role earn between $28.51 and $35.62 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.

More about Remote Rn Auditor jobs
What are popular job titles related to Remote Rn Auditor jobs in Elgin, IL? For Remote Rn Auditor jobs in Elgin, IL, the most frequently searched job titles are:
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Remote Rn Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in Elgin, IL as of May 2026, with employment types broken down into 100% Full Time. Highlights an 87% Physical, 6% Hybrid, and 7% Remote job distribution, with an average salary of $67,829 per year, or $32.6 per hour.
Nurse Auditor - Medical Bill Review (Remote)

Nurse Auditor - Medical Bill Review (Remote)

Rising Medical Solutions

Chicago, IL • Remote

Full-time

Medical, Retirement, PTO

Posted 2 days ago

Job description

Have you ever looked a medical bill and immediately noticed something was wrong? Were you itching to use your expertise to fix it? We've been there, too. In fact, that's how our business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world of medical cost containment.

Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and erroneous charges. We pride ourselves on outstanding customer service and work hard to keep our impeccable reputation in the industry.

In this role, you'll be a part of our mission by giving clients the information they need to determine case value based on evaluation of medical records and medical billing statements, and will:


  • Audit medical and billing records to determine if services provided are reasonable, appropriate and necessary.
  • Clinically identify and evaluate any charges not related to the occurrence.
  • Verify that charges are in accordance with the services ordered and authorized.
  • Initiate appropriate contacts with clients and medical providers as appropriate and necessary.
  • Negotiate bills and conduct re-evaluation reviews as required


All while maintaining a human touch, demonstrating sensitivity to culturally-diverse people and situations.

Requirements

  • RN (or LPN) with active professional license or equivalent within states of operation
  • CPC and/or CPC-H certification(s) strongly desired
  • Specialized training in hospital coding, ortho, neuro, rehab, or ER procedures
  • 3-5 years of clinical experience in acute care, surgery and/or orthopedic
  • Workers’ Compensation medical bill review experience a major plus
  • Understanding of CPT and ICD-10 codes and Medicare guidelines
  • Ability to apply knowledge to state fee schedules
  • A customer service orientation, including strong communication skills
  • Experience in any deposition or litigation cases a plus

Benefits

  • Competitive benefits package, including health insurance, 401(k) with company match, paid time off, paid holidays, and more.
  • Flexible hybrid schedule with in-office days reserved for training and collaborative meetings
  • Employment within a firm committed to core values, staff development, emerging technology, private ownership, and controlled growth/reinvestment in the future - we frequently promote from within!
  • Opportunity to make a difference in reducing health care costs and increasing the value of health care to individuals and their employers.
  • A relaxed, yet upbeat work environment
  • And for those in the office: casual dress code with unlimited coffee!