Experience as a RN would be a plus. TRAVEL in the field to designated hospitals in the local service delivery area to meet with the members. Mileage is reimbursed as part of our benefit package.
Experience as a RN would be a plus. TRAVEL in the field to designated hospitals in the local service delivery area to meet with the members. Mileage is reimbursed as part of our benefit package.
Clinical Diagnostic Liaison (CDL) - Northwest
Salt Lake City, UT · Remote
$170K - $180K/yr
Position is remote and will require 75% travel including overnight business travel. Employees can ... Bachelor's degree required, Advanced degree or clinical license preferred RN, PharmD, PhD, PA, MSN ...
Clinical Diagnostic Liaison (CDL) - Northwest
Salt Lake City, UT · Remote
$170K - $180K/yr
Position is remote and will require 75% travel including overnight business travel. Employees can ... Bachelor's degree required, Advanced degree or clinical license preferred RN, PharmD, PhD, PA, MSN ...
Remote Rn Auditor information
See Layton, UT salary details
$17.91 - $20.13
6% of jobs
$20.13 - $22.36
6% of jobs
$22.36 - $24.58
3% of jobs
$26.01 is the 25th percentile. Wages below this are outliers.
$24.58 - $26.80
15% of jobs
$26.80 - $29.03
17% of jobs
The median wage is $29.33 / hr.
$29.03 - $31.25
23% of jobs
$32.05 is the 75th percentile. Wages above this are outliers.
$31.25 - $33.48
15% of jobs
$33.48 - $35.70
8% of jobs
$35.70 - $37.92
0% of jobs
$37.92 - $40.15
0% of jobs
$40.15 - $42.37
7% of jobs
$17
$29
$42
How much do remote rn auditor jobs pay per hour?
As of Aug 7, 2026, the average hourly pay for remote rn auditor in Layton, UT is $29.97, according to ZipRecruiter salary data. Most workers in this role earn between $26.20 and $32.74 per hour, depending on experience, location, and employer.
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?
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.
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 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.
Can you work remotely as a remote RN auditor?
Yes, remote RN auditors can often work from home, as the role primarily involves reviewing medical records and documentation electronically. Strong computer skills, familiarity with auditing software, and relevant nursing licensure are typically required, and employers may set specific remote work policies or schedules.
More about Remote Rn Auditor jobs
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What cities near Layton, UT are hiring for Remote Rn Auditor jobs? Cities near Layton, UT with the most Remote Rn Auditor job openings:
Full-time
Posted 7 days ago
Molina Healthcare rating
8.0
Based on 198 frontline employees who took The Breakroom Quiz
164th of 303 rated insurance
Job description
JOB DESCRIPTION
This BH will act as a Care Manager supporting our UT Medicaid members who have recently been admitted to this hospital. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes.
This is a telephonic position and productivity is important. Preferred candidates will have previous case management, managed care, or inpatient hospital experience. Experience as a RN would be a plus.
TRAVEL in the field to designated hospitals in the local service delivery area to meet with the members. Mileage is reimbursed as part of our benefit package.
Schedule: Monday through Friday 8:00AM to 4:30PM or 5PM PST (No weekends, no nights, no holidays, no call.) Alternative work schedule after 6 months to 1 year exp: 8AM - 6:30PM. 4 days per week or 4 9-hour days and 1 half day.
Job Summary
Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Completes comprehensive behavioral health assessments of members per regulated timelines and determines who may qualify for care coordination/case management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments.
Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate healthcare professionals and member support network to address member needs and goals.
Conducts telephonic, face-to-face or home visits as required.
Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
Maintains ongoing member caseload for regular outreach and management.
Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.
Facilitates interdisciplinary care team meetings and informal ICT collaboration.
Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
May provide consultation, resources and recommendations to peers as needed.
25-40% estimated local travel may be required (based upon state/contractual requirements).
Required Qualifications
At least 2 years health care experience, preferably in behavioral health, or equivalent combination of relevant education and experience.
Licensed behavioral health clinician to include: Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT, Doctor of Psychology (PhD or PsyD) or equivalency based on state contract, regulation, or state board licensing mandate. If licensed, license must be active and unrestricted in state of practice.
Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
Experience with working with persons with severe and persistent mental health concerns and serious emotional disturbances, to include substance use disorder and foster care.
Knowledge and experience related to whole person care principles, chronic health conditions, and discharge planning coordination.
Data entry skills and previous experience utilizing a clinical platform.
Excellent verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Certified Case Manager (CCM).
Experience in behavioral health care management.
Field-based care management or home health experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
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About Molina Healthcare
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980