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

Remote Description: Government Programs Care Manager III. For this position, formerly Nurse Case ... Active unrestricted Registered Nurse (RN) license in state or territory of the United States.

Virtual Resource RN - In-Office Command Center Location: Brentwood, TN (Nashville Area) * Location: On-Site at our Virtual Care Center in Brentwood, TN (No remote option) * Schedule: Night Shift (7 ...

Resolves non-routine issues escalated from more junior team members. RN and current unrestricted nursing license required. Notes : Remote in any state except, NY, CA, HI and AK VIVA is an equal ...

Resolves non-routine issues escalated from more junior team members. RN and current unrestricted nursing license required. Notes : remote in any state except, NY, CA, HI and AK VIVA is an equal ...

Order remote monitoring devices for member * Ability to perform high quality, high volume calls ... Board of Registered Nurses. * A minimum of 2 years hands on nursing experience is required ...

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Remote Rn Auditor information

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$19

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$45

How much do remote rn auditor jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for remote rn auditor in Lebanon, TN is $31.85, according to ZipRecruiter salary data. Most workers in this role earn between $27.84 and $34.81 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.

What job categories do people searching Remote Rn Auditor jobs in Lebanon, TN look for?

The top searched job categories for Remote Rn Auditor jobs in Lebanon, TN are:

What cities near Lebanon, TN are hiring for Remote Rn Auditor jobs?

Cities near Lebanon, TN with the most Remote Rn Auditor job openings:

Remote Call Center Nurse (Full time)

Diversicare Support Center(BSC)

Brentwood, TN • Remote

$18 - $20/hr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.


Job description

Overview
Schedule
Full-time Evening 3pm - 11pm or Night Shift 11pm - 7am Mon - Fri. and 1-3 weekends per month.
Compensation for remote position plus comprehensive benefits!
$18 - $20/hr.
Work Environment
• Hybrid - onsite at company's support center and/or remote (work from home)
• Frequent telephone and computer use.
• At times, travel is required to companywide meetings
Eterna Primary Care's Call Center Nurse serves as the first point of contact for patients, families, skilled nursing facilities (SNFs), assisted living facilities (ALFs), hospitals, pharmacies, and healthcare providers. This role is responsible for professionally managing high-volume inbound and outbound calls, accurately documenting communications, triaging requests, coordinating with medical staff, and ensuring timely resolution of patient care needs.
The Call Center Nurse/Agent plays a critical role in supporting continuity of care, improving patient satisfaction, reducing unnecessary hospitalizations, and assisting providers in delivering high-quality post-acute medical services.
Responsibilities
Call Management
• Answer incoming calls in a professional, courteous, and compassionate manner.
• Place outbound calls to patients, family members, facilities, pharmacies, hospitals, and community partners.
• Verify caller identity following HIPAA guidelines.
• Document all telephone encounters accurately in the electronic medical record (EMR) and/or designated platform.
• Maintain excellent customer service during every interaction.
• Route calls appropriately based on urgency and clinical need.
Patient Care Coordination
• Receive requests from nursing facilities regarding patient concerns.
• Communicate patient updates to medical providers.
• Coordinate same-day provider visits when appropriate.
• Schedule follow-up appointments.
• Assist with appointments reminders.
• Monitor outstanding patient needs/requests until resolved.
• Assist the medical providers with quality measure capture.
• Follow company approved patient protocols.
• Escalate urgent clinical concerns immediately.
Provider Support
Assist providers with communication involving:
• Medication refill requests.
• Laboratory results.
• Imaging reports.
• Hospital admissions.
• Hospital discharges.
• Emergency Department notifications.
• Consult requests.
• Family communication requests.
• Hospice coordination.
• Home Health communication.
Facility Communication
Serve as liaison between providers and:
• Skilled Nursing Facilities
• Assisted Living Facilities
• Rehabilitation Centers
• Long-Term Care Facilities
• Hospitals
• Pharmacies
• Diagnostic companies
*Ensure communication is timely, professional, and accurately documented
Care Coordination
Support value-based care initiatives by assisting with:
• Chronic Care Management (CCM)
• Transitional Care Management (TCM)
• Annual Wellness Visits
• Preventive care reminders
• Advance Care Planning scheduling
• Follow-up after hospitalization
• Closing gaps in care
Documentation
Document all interactions in accordance with company standards, including:
• Date and time.
• Caller information
• Reason for call
• Actions taken.
• Provider notifications
• Follow-up required
• Resolution
Administrative Responsibilities
• Manage voicemail queues.
• Monitor provider message pools.
• Track open telephone encounters.
• Complete assigned work queues
• Maintain patient confidentiality.
• Scan and upload documents.
• Complete other administrative duties as assigned.
Administrative Responsibilities
• Manage voice-mail queues.
• Monitor provider message pools.
• Track open telephone encounters.
• Complete assigned work queues
• Maintain patient confidentiality.
• Scan and upload documents.
• Complete other administrative duties as assigned.
Customer Service Expectations
The Call Center Nurse/Agent will:
• Demonstrate empathy and compassion.
• Treat every caller with respect.
• Remain calm during stressful situations.
• Resolve concerns efficiently.
• Promote positive relationships with patients and facility staff.
• Represent the organization professionally.
Qualifications
Education & Licensure
• Associate degree or higher
• Registered Nurse (RN), preferred, current and active multistate license.
• Current and active multi state license as Licensed Practical Nurse (LPN).
Experience
• Experience in skilled nursing, post-acute care, care coordination, or case management preferred.
• Knowledge of medical terminology.
• Familiarity with data entry, medication reconciliation, discharge planning and community resources.
• Familiarity with quality measures and tracking preferred.
Skills & Competencies
• Strong interpersonal, communication, and patient advocacy skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Knowledge of post-acute workflows and care transitions.
• Proficiency with data entry and electronic health record.
• Strong analytical, organizational, and problem-solving skills.
• Excellent verbal and written communication skills.
• Ability to prioritize.
• Excellent customer service.