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Remote Rn Auditor Jobs in Lebanon, PA (NOW HIRING)

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Remote Rn Auditor information

See Lebanon, PA salary details

$19

$32

$45

How much do remote rn auditor jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for remote rn auditor in Lebanon, PA is $32.42, according to ZipRecruiter salary data. Most workers in this role earn between $28.37 and $35.43 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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Infographic showing various Remote Rn Auditor job openings in Lebanon, PA as of July 2026, with employment types broken down into 2% Locum Tenens, 78% Full Time, 16% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 6% Hybrid, and 7% Remote job distribution, with an average salary of $67,430 per year, or $32.4 per hour.

Director Quality Management

Amerihealth Caritas

Harrisburg, PA • On-site, Remote

Full-time

Medical, Retirement, PTO

Re-posted 17 days ago

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

129th of 311 rated insurance

Job description

Job Summary

The Director of Quality Management is responsible for the Outcomes Management and Quality Improvement Plan, a program of systematic and objective activities designed to continuously monitor, evaluate, and improve the processes of delivering behavioral health and substance use services, services for intellectual/developmental disabilities, and the quality of clinical care and services provided to children, youth, young adults, and their family/caregivers.  The Director is responsible for a formal outcomes assessment process that is standardized, reliable, and valid in accordance with industry standards. 

Work Arrangement: Hybrid  and must reside in Pennsylvania 

Responsibilities: 

  • Oversight of complaints and grievances, credentialing, quality of care, policies and procedures, NCQA, internal and external audits and treatment record reviews.
  • Provides quality leadership in the development of new and improved clinical and administrative processes to maximize effective operations and ensures that contract deliverables are met.
  • Provides organization-wide monitoring of outcomes, data analysis, and improvement of quality, clinical and non-clinical processes. Utilizes this data to support and collaborate with all departments. 
    Requires extensive experience developing, interpreting, and presenting reports and analyses to support decision-making and collaboration across departments.
  • Supervises a team of quality coordinators, manages assignments and provides feedback on job performances and goals
     


 Education: 

  • Master’s degree in social work, nursing, counseling, or doctorate in psychology required.
  • Must be a PA licensed RN, physician, physician’s assistant or a licensed or certified MH Professional or is a Certified Professional in Healthcare Quality (CPHQ) or is Certified in Healthcare Quality and Management (HCQM)

Experience: 

  • 10 years’ experience in healthcare and in quality assurance and improvement.
  • Knowledge and experience of statistics and research to conduct data analysis/evaluation. 
  • Excellent communication skills: Verbally and in writing with all internal and external customers.
  • Strong presentation skills required.
  • Ability to handle conflict and difficult situations.
  • Strong time management, project management, and organizations skills.
  • Ability to use PC’s in a Windows based environment.
  • Ability to foster growth and teamwork.
  • Strong & demonstrated leadership and management skills resulting in the ability to make decisions independently and manage personnel.

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

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