Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world ... Requirements * RN (or LPN) with active professional license or equivalent within states of ...
Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world ... Requirements * RN (or LPN) with active professional license or equivalent within states of ...
Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world ... Requirements * RN (or LPN) with active professional license or equivalent within states of ...
Quick apply
Rising Medical Solutions is looking for a Nurse Auditor who wants to make their mark in the world ... Requirements * RN (or LPN) with active professional license or equivalent within states of ...
Tele-Triage Registered Nurse - RN
Chicago, IL · Remote
$33 - $35/hr
Remote Triage & Home Health RN experience highly preferred *Potential Start Date: 9/14/26 New Available PART TIME Schedules: *Wednesday, 6p-10p CST (7p-11p EST) and Thursday, Friday & Saturday from ...
Tele-Triage Registered Nurse - RN
Chicago, IL · Remote
$33 - $35/hr
Remote Triage & Home Health RN experience highly preferred *Potential Start Date: 9/14/26 New Available PART TIME Schedules: *Wednesday, 6p-10p CST (7p-11p EST) and Thursday, Friday & Saturday from ...
Downers Grove, Illinois Case Management Direct RN Remote Case Manager - Metro Chicago Area (with Local Travel) This is a direct hire position. We are seeking a compassionate and experienced ...
Downers Grove, Illinois Case Management Direct RN Remote Case Manager - Metro Chicago Area (with Local Travel) This is a direct hire position. We are seeking a compassionate and experienced ...
Downers Grove, Illinois Case Management Direct RN Remote Case Manager - Metro Chicago Area (with Local Travel) This is a direct hire position. We are seeking a compassionate and experienced ...
Downers Grove, Illinois Case Management Direct RN Remote Case Manager - Metro Chicago Area (with Local Travel) This is a direct hire position. We are seeking a compassionate and experienced ...
Downers Grove, Illinois Case Management Direct RN Remote Case Manager - Metro Chicago Area (with Local Travel) This is a direct hire position. We are seeking a compassionate and experienced ...
Downers Grove, Illinois Case Management Direct RN Remote Case Manager - Metro Chicago Area (with Local Travel) This is a direct hire position. We are seeking a compassionate and experienced ...
Downers Grove, Illinois Case Management Direct RN (Bilingual) Remote Case Manager - Metro Chicago Area (with Local Travel) This is a direct hire position. We are seeking a compassionate and ...
Downers Grove, Illinois Case Management Direct RN (Bilingual) Remote Case Manager - Metro Chicago Area (with Local Travel) This is a direct hire position. We are seeking a compassionate and ...
Tele-Triage Licensed Practical Nurse - LPN
Chicago, IL · Remote
$21/hr
One-year of home health experience preferred About our Line of BusinessStarting Point Nursing Services, an affiliate of BrightSpring Health Services, is staffed 100% by a team of remote registered ...
Tele-Triage Licensed Practical Nurse - LPN
Chicago, IL · Remote
$21/hr
One-year of home health experience preferred About our Line of BusinessStarting Point Nursing Services, an affiliate of BrightSpring Health Services, is staffed 100% by a team of remote registered ...
Tele-Triage Licensed Practical Nurse - LPN
Chicago, IL · Remote
$21/hr
One-year of home health experience preferred About our Line of BusinessStarting Point Nursing Services, an affiliate of BrightSpring Health Services, is staffed 100% by a team of remote registered ...
Tele-Triage Licensed Practical Nurse - LPN
Chicago, IL · Remote
$21/hr
One-year of home health experience preferred About our Line of BusinessStarting Point Nursing Services, an affiliate of BrightSpring Health Services, is staffed 100% by a team of remote registered ...
Downers Grove, Illinois Case Management Direct RN Remote Case Manager Supervisor - Chicago Area This is a direct hire position with benefits and bonuses. We are seeking a compassionate and ...
Downers Grove, Illinois Case Management Direct RN Remote Case Manager Supervisor - Chicago Area This is a direct hire position with benefits and bonuses. We are seeking a compassionate and ...
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Medical Coding Compliance Auditor (Remote USA)
Chicago, IL · Remote
$40 - $45/hr
Medical Coding Compliance Auditor Location: Remote USA Position: 6-Month + Contract ⭐️ Join a ... Nursing, or a related field preferred. Performance Expectations · Minimum of 8-10 SmarterDx ...
New
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Be Seen First
Medical Coding Compliance Auditor (Remote USA)
Chicago, IL · Remote
$40 - $45/hr
Medical Coding Compliance Auditor Location: Remote USA Position: 6-Month + Contract ⭐️ Join a ... Nursing, or a related field preferred. Performance Expectations · Minimum of 8-10 SmarterDx ...
New
Utilization Review Nurse - Remote - Contract
Chicago, IL · Remote
$41/hr
Remote position, however, candidates must reside in the State of TX or State of IL This position is ... Pay: $41/hour RN working in the insurance or managed care industry using medically accepted ...
New
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Utilization Review Nurse - Remote - Contract
Chicago, IL · Remote
$41/hr
Remote position, however, candidates must reside in the State of TX or State of IL This position is ... Pay: $41/hour RN working in the insurance or managed care industry using medically accepted ...
New
Care Transformation RN
Chicago, IL · Remote
$41.14 - $67.88/hr
Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Serve as a Virtual RN (VIC RN) for 50% of the role, providing direct patient care during ...
Care Transformation RN
Chicago, IL · Remote
$41.14 - $67.88/hr
Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Serve as a Virtual RN (VIC RN) for 50% of the role, providing direct patient care during ...
Acute Dialysis Registered Nurse
Aurora, IL · Remote
$37 - $47/hr
Join Renaissance Management Company as a Full-Time Acute Dialysis Registered Nurse and embrace the excitement of working in a fully remote role that prioritizes innovation and patient care. Imagine ...
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Acute Dialysis Registered Nurse
Aurora, IL · Remote
$37 - $47/hr
Join Renaissance Management Company as a Full-Time Acute Dialysis Registered Nurse and embrace the excitement of working in a fully remote role that prioritizes innovation and patient care. Imagine ...
Case Management Supervisor RN
Downers Grove, IL · Remote
$77K - $120K/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 ...
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Case Management Supervisor RN
Downers Grove, IL · Remote
$77K - $120K/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 ...
Case Management Supervisor RN
Downers Grove, IL · Remote
$76K - $117K/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 ...
Case Management Supervisor RN
Downers Grove, IL · Remote
$76K - $117K/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 ...
Hormone Health Provider (Nurse Practitioner) (Remote)
Chicago, IL · Remote
$130K/yr
We are looking to build up both our "virtual/remote" team and local team in the Chicago area and ... Active IL APRN and IL DEA licenses are required to start. Providers based in AZ, CO, FL, IL, NC, OH ...
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Hormone Health Provider (Nurse Practitioner) (Remote)
Chicago, IL · Remote
$130K/yr
We are looking to build up both our "virtual/remote" team and local team in the Chicago area and ... Active IL APRN and IL DEA licenses are required to start. Providers based in AZ, CO, FL, IL, NC, OH ...
Case Management Supervisor RN
Downers Grove, IL · Remote
$77K - $120K/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 ...
Case Management Supervisor RN
Downers Grove, IL · Remote
$77K - $120K/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 ...
Case Management Supervisor RN
Downers Grove, IL · Remote
$76K - $117K/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 ...
Quick apply
Case Management Supervisor RN
Downers Grove, IL · Remote
$76K - $117K/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 ...
Remote Nurse Practitioner Contractor- Multi-State
Chicago, IL · Remote
$30/hr
Remote -- United States THE HIGHLIGHTS * Anticipated Start Date: Summer 2026 * Role Type ... Collaborate with the broader care team -- including RNs, RDs, and Accountability Coaches -- to ...
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Remote Nurse Practitioner Contractor- Multi-State
Chicago, IL · Remote
$30/hr
Remote -- United States THE HIGHLIGHTS * Anticipated Start Date: Summer 2026 * Role Type ... Collaborate with the broader care team -- including RNs, RDs, and Accountability Coaches -- to ...
Remote Rn Auditor information
See Joliet, IL salary details
$19.08 - $21.45
6% of jobs
$21.45 - $23.82
6% of jobs
$23.82 - $26.18
3% of jobs
$27.71 is the 25th percentile. Wages below this are outliers.
$26.18 - $28.55
15% of jobs
$28.55 - $30.92
17% of jobs
The median wage is $31.25 / hr.
$30.92 - $33.29
23% of jobs
$34.14 is the 75th percentile. Wages above this are outliers.
$33.29 - $35.66
15% of jobs
$35.66 - $38.03
8% of jobs
$38.03 - $40.40
0% of jobs
$40.40 - $42.77
0% of jobs
$42.77 - $45.14
7% of jobs
$19
$31
$45
How much do remote rn auditor jobs pay per hour?
What is the difference between Remote Rn Auditor vs Remote Rn Reviewer?
| Aspect | Remote Rn Auditor | Remote Rn Reviewer |
|---|---|---|
| Certifications | RN license, auditing certifications (e.g., CHAP, RAC) | RN license, clinical review certifications |
| Work Environment | Healthcare organizations, insurance companies, auditing firms | Healthcare providers, insurance companies, utilization review |
| Primary Responsibilities | Auditing medical records for compliance, coding accuracy, and billing | Reviewing 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?
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?
What are some common challenges faced by Remote RN Auditors, and how can they be effectively managed?
What is a Remote RN Auditor?
Can you work remotely as a remote RN auditor?
Full-time
Medical, Retirement, PTO
Re-posted 8 days ago
Job description
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!
About Rising Medical Solutions
Sourced by ZipRecruiter
Industry
Insurance services
Company size
201 - 500 Employees
Headquarters location
Chicago, IL, US
Year founded
1999