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

Oshi Health

GI- Nurse Practitioner

Philadelphia, PA · Remote

Preferred RN compact License Required Location: We are only hiring from the following states ... Remote-first -- work from home anywhere in the US within our approved states * Growth: Advanced ...

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Remote Rn Auditor information

See Levittown, PA salary details

$18

$31

$44

How much do remote rn auditor jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for remote rn auditor in Levittown, PA is $31.70, according to ZipRecruiter salary data. Most workers in this role earn between $27.74 and $34.66 per hour, depending on experience, location, and employer.

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 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.
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Remote Rn Auditor jobs near you

Fully Remote Registered Nurse (RN) Care Manager

The CKHobbie Group

Philadelphia, PA • On-site, Remote

Full-time

Re-posted 28 days ago

Job description


Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the opportunity to work closely with individuals who have complex medical, behavioral, and social needs, helping them navigate the healthcare system while improving their overall well-being. As an RN Care Manager, you will play a vital role in delivering holistic, patient-centered care that addresses not only physical health, but also the underlying factors that influence long-term outcomes.
In this role, you will engage members both over the phone and through occasional in-person visits in community or hospital settings. You will conduct comprehensive assessments that evaluate medical, behavioral, functional, and social determinants of health, and use this information to develop individualized care plans that align with each member's unique needs, goals, and preferences. By applying active listening and motivational interviewing techniques, you will help members better understand their health conditions, identify personal goals, and take meaningful steps toward positive behavior change.
The RN Care Manager serves as both an advocate and an educator, guiding members through complex healthcare decisions and ensuring they have access to the right resources at the right time. You will help members overcome barriers to care by identifying challenges, offering practical solutions, and connecting them with appropriate community-based services. In cases where urgent or high-risk situations arise, you will use your clinical judgment to escalate concerns appropriately and ensure members receive timely interventions.
Collaboration is a key component of this position. You will work alongside an interdisciplinary care team, presenting complex cases and contributing valuable clinical insight to support care planning and decision-making. Simultaneously, you will operate with a high level of autonomy, managing your own caseload in a structured virtual environment while meeting established performance goals. This balance of independence and collaboration allows you to fully utilize your clinical expertise while continuing to grow professionally.
This role is well-suited for nurses who are passionate about making a meaningful difference in patients' lives and who are seeking a more flexible and strategic approach to care delivery. It offers the opportunity to build strong, lasting relationships with members, develop expertise in case management and population health, and play a direct role in improving healthcare outcomes on a broader scale. Candidates must hold an active, unrestricted RN license in Pennsylvania, have either an associate's or bachelor's degree in nursing, and reside in the Philadelphia region. A strong passion for working with complex populations, along with the ability to work independently in a home-based setting with occasional travel, is essential.
Preferred candidates will have prior experience in case management, care coordination, or managed care environments, particularly with high-risk or medically complex populations. Additional qualifications such as a Certified Case Manager (CCM) credential, experience with utilization review or risk management, technical proficiency with Microsoft Office applications, and bilingual capabilities are considered valuable assets.

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