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Remote Rn Auditor Jobs in Frisco, TX (NOW HIRING)

Tuesday Health

Clinical Supervisor (Texas)

Dallas, TX · Remote

Active unrestricted Registered Nurse (RN) license in the State of Texas (multi-state compact ... Remote work with multiple onsite sessions each year to maximize collaboration and team building * A ...

BetterHelp

Licensed Psychologist - Remote

Dallas, TX · Remote

$650/wk

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

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Remote Rn Auditor information

See Frisco, TX salary details

$18

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$43

How much do remote rn auditor jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote rn auditor in Frisco, TX is $30.88, according to ZipRecruiter salary data. Most workers in this role earn between $27.02 and $33.75 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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Remote Rn Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in Frisco, TX as of June 2026, with employment types broken down into 17% Full Time, 27% Part Time, 1% Temporary, and 55% Contract. Highlights an 37% Physical, 2% Hybrid, and 61% Remote job distribution, with an average salary of $64,221 per year, or $30.9 per hour.

Medical Management Specialist I

Bracane Co

Plano, TX • Remote

Full-time

Re-posted 24 days ago

Job description

JOB PURPOSE:
This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing, and providing data for regulatory reports. This position will represent the company to members.

JOB QUALIFICATIONS:

*Registered Nurse (RN), with 3 years of direct clinical care to the consumer in a clinical setting.

* Current, valid, unrestricted license in the state of operations (or reciprocity). For a compact licensee changing permanent residence to the state of operations, you must obtain active, unrestricted RN licensure in the state of operations within 90 days of hire.
* Plus 3 years of wellness or managed care experience presenting clinical issues with members/physicians.
* Knowledge of the health and wellness marketplace and employer trends.
* Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
* Analytical experience including medical data analysis.
* Current driver's license, transportation, and applicable insurance.
* Ability and willingness to travel within assigned territory - Field visits are required.
* PC proficiency to include Word, Excel, and PowerPoint, database experience, and Web-based applications.

PREFERRED JOB QUALIFICATIONS:

* 3 years of clinical experience.

* Patient education experience.
* Condition Management experience.
* Bilingual in English and Spanish.
* Transition of Care experience.
* Experience in managing complex or catastrophic cases.
* Certification in Case Management, Training, Project Management, or nationally recognized Health Care Certification.

REQUIRED JOB QUALIFICATIONS: Registered Nurse only

LOCATION: Remote: Waco, TX 

TRAVEL:

WORK WEEK: 40 Hours/8 Hours per Day

ASSIGNMENT: 6 months

Note: Excel and Typing tests will be required.