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

IQVIA

Flex Nurse Educator

Napa, CA · Remote

Deliver remote patient education, including medication administration training and adherence ... Active RN license in good standing (compact multi-state preferred); may be required to obtain ...

IQVIA

Flex Nurse Educator

Vallejo, CA · Remote

Deliver remote patient education, including medication administration training and adherence ... Active RN license in good standing (compact multi-state preferred); may be required to obtain ...

IQVIA

Flex Nurse Educator

San Francisco, CA · Remote

Deliver remote patient education, including medication administration training and adherence ... Active RN license in good standing (compact multi-state preferred); may be required to obtain ...

IQVIA

Flex Nurse Educator

Petaluma, CA · Remote

Deliver remote patient education, including medication administration training and adherence ... Active RN license in good standing (compact multi-state preferred); may be required to obtain ...

Baba

Virtual Nurse Practitioner

San Francisco, CA · Remote

Telehealth Nurse Practitioner | Remote 1099 | Structured Intake & Care Navigation About Baba Baba ... Active Nurse Practitioner or APRN license, in good standing - licensed in multiple states ...

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Remote Rn Auditor information

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How much do remote rn auditor jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for remote rn auditor in Fairfield, CA is $33.57, according to ZipRecruiter salary data. Most workers in this role earn between $29.38 and $36.68 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.
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RN Triage Nurse - REMOTE

Petaluma, CA • Remote

Anchor Health
Health Care and Social Assistance • 51 - 200 employees
Learn more about Anchor Healthexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

Key responsibilities

  • Respond to triage calls on the nurse phone line, assessing patient needs and providing appropriate guidance.

  • Conduct patient assessments over the phone, determine urgency, and coordinate necessary follow-up or emergency referrals.

  • Maintain thorough documentation of consultations and treatments in the electronic health record system.

Job description

Anchor Health is looking for a compassionate RN Triage Nurse (Full-Time) to join a strong supportive team of professionals that provide hospice/palliative care.

Position Purpose:


Under the general supervision of the Nurse Manager, the Triage Nurse is responsible for patient triage via the nurse phone line and Call Center agents, in collaboration with Clinic Administrators, providers, and other departments. The Triage Nurse provides quality patient care in compliance with local, state, and federal regulations, as well as accreditation standards.

Principal Responsibilities:

  • Responds to triage calls on the nurse phone line, assessing patient needs and providing appropriate guidance.

  • Manages inquiries on the pharmacy phone line, ensuring timely and accurate responses.

  • Conducts patient assessments over the phone

  • Determines urgency based on a telephone assessment and the patient’s medical history in the electronic medical record (EMR).

  • Utilizes clinical decision-making tools, including algorithms that replicate physician logic, to guide scheduling decisions.

  • Escalates high-risk cases involving symptoms such as chest pain, abdominal pain, or severe headaches, ensuring immediate ER referral or ambulance coordination.

  • Provides home care guidance to patients who do not require emergency services.

  • Maintains thorough documentation of consultations and treatments in the NextGen Electronic Health Record system.

  • Coordinates appointments for non-emergency patients and consults with physicians as necessary.

  • Acts as a resource for patient inquiries when designated as "Ask a Nurse," addressing routine questions such as vaccination schedules.

  • Serves as a clinical resource and role model for nursing staff, promoting best practices.

  • Manages workload effectively, prioritizing tasks and completing them promptly.

  • Assists with medical chart reviews and compiles data for audits and reports.

  • Supports policy development, collaborating with the Managing Nurse to establish nursing protocols and procedures.

  • Ensures clear, concise, and accurate triage documentation.

  • Provides patient education, offering guidance on self-care and medical conditions.

  • Communicates professionally with staff, consultants, patients, families, and the community.

  • Resolves conflicts proactively, improving patient satisfaction through timely responses.

  • Participates in team meetings, training sessions, and planning discussions as needed.

  • Performs additional duties as assigned to support clinical operations.

Requirements:

  • Licensed by the State of California as a Registered Nurse.

  • Current BLS certification from the American Heart Association or the American Red Cross.

  • At least one year of experience in an ambulatory care setting.

  • Excellent verbal and written communication skills, including strong organizational, detail-oriented, and interpersonal skills.

  • Proficiency in computer skills and word processing.

Employee Benefits:

At Anchor Health, we believe in taking care of those who take care of others. If you work 30+ hours per week, you’ll enjoy competitive pay and a robust benefits package that includes:

  • Medical, Dental, Vision

  • Paid time off (vacation, sick leave) 

  • 401(k) 

  • Short- and long-term disability plans (LTD/STD).

  • Life insurance policy 

  • REMOTE position