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Remote Rn Auditor Jobs in Milwaukee, WI (NOW HIRING)

DataAnnotation

RN

Milwaukee, WI · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

DataAnnotation

RN

Kenosha, WI · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

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How much do remote rn auditor jobs pay per hour?

As of May 29, 2026, the average hourly pay for remote rn auditor in Milwaukee, WI is $32.50, according to ZipRecruiter salary data. Most workers in this role earn between $28.41 and $35.53 per hour, depending on experience, location, and employer.

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, and why are they important?

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.

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.

More about Remote Rn Auditor jobs
What are popular job titles related to Remote Rn Auditor jobs in Milwaukee, WI? For Remote Rn Auditor jobs in Milwaukee, WI, the most frequently searched job titles are:
What job categories do people searching Remote Rn Auditor jobs in Milwaukee, WI look for? The top searched job categories for Remote Rn Auditor jobs in Milwaukee, WI are:
What cities near Milwaukee, WI are hiring for Remote Rn Auditor jobs? Cities near Milwaukee, WI with the most Remote Rn Auditor job openings:
Remote Rn Auditor jobs near you
Registered Nurse (RN) - Virtual - PRN

Registered Nurse (RN) - Virtual - PRN

Rogers Behavioral Health

Oconomowoc, WI • On-site, Remote

Part-time

Posted 3 days ago

Rogers Behavioral Health rating

6.3

Company rating: 6.3 out of 10

Based on 48 frontline employees who took The Breakroom Quiz

627th of 864 rated healthcare providers

Job description

Schedule:
PRN - as needed coverage
No set hours or consistent days
This position is fully remote, however the selected candidate must reside in a state that Rogers currently operates in - (WI, MN, IL, PA, TN, FL, GA, CO, CA, WA, CO). Ideal candidate will hold compact licensure or licensed in multiple states
The Registered Nurse (RN, RN II, RN III) - Virtual is part of the organization's Telehealth division and virtually performs professional nursing activities in the care of patients so they may achieve or regain, and then maintain, maximum physical, emotional or social functions. Role functions are governed by the Nurse Practice Act, the Administrative Code (in the state of employment), as well as the professional standards for nursing practice, and the corresponding policies and procedures of Rogers Memorial Hospital (Rogers). The registered nurse seeks consultation with other members of the health team as the patient's condition and treatment goals warrant. He/She, in conjunction with the Patient Accounts department, provides patient information to ensure compliance with federal and state statutes.
Job Duties & Responsibilities:
Virtual Rapport Building: Utilize video conferencing to establish and maintain a therapeutic relationship, using active listening and visual cues to compensate for the lack of physical presence.
Remote Crisis Intervention: Guide patients through virtual de-escalation techniques and provide support during crises, coordinating with local emergency services as needed.
Home Environment Assessment: Coach patients on how to create a safe and private space for their virtual sessions.
Technology Troubleshooting: Assist patients with basic technical issues related to their virtual sessions (e.g., poor audio/video quality, connection problems).
Peripheral Device Management: Guide patients on the use of remote monitoring devices like blood pressure cuffs or pulse oximeters.
Complete initial assessments and documents virtually as required.
  • Collect, record and analyze, within prescribed timeframe, pertinent data for admission assessment according to Hospital policy, including:
    • Patient strengths and limitations that can be addressed in reaching health goals;
    • Cultural, spiritual, and ethnic factors that may impact on patient's course of treatment;
    • Patient needs that are to be addressed at discharge;
    • Medical/physical status;
    • History of medication compliance, reactions and current schedule; and
    • Age-specific data regarding the patient's individual needs.
  • Involve patients' support systems (family, friends) in assessment and documentation.
    • Observe and document the patient's interaction with family and friends as it is pertinent to the patient's treatment.
    • Obtain assessment data from support systems, when appropriate, regarding the patient's history and individual needs.
  • Act as an advocate for patients.
    • Explain patient's rights so they can understand and obtain appropriate signatures.
    • Provide the patient with information and obtain their signature on the necessary consents.
    • Act as a patient advocate, use knowledge of patient rights and responsibilities, and protect patient's privacy and confidentiality.
  • Assist in patient orientation process.

Initiate and update treatment plan and documentation as required.
  • Participate in planning and modifying the patient's plan of care.
    • Evaluate data obtained by others by reviewing patient's treatment plan and multi-disciplinary assessment for assigned patients.
    • Participate in care conferences (staffing's, supervision) and represent the nursing care component of the treatment plan to others at the staffing.
    • Develop and interpret plan of care with the patient/family, updating it as indicated.
    • Write clear, concise and obtainable treatment goals on the treatment plan for each problem.
    • Review the treatment plan as goals are achieved, changed or updated.
  • On an ongoing basis, identify, interpret and document information collected in nursing interview, observation, physical assessment and diagnostic data, and confer with other health care professionals, as appropriate.
    • Review current lab data and follow-up with doctor.
    • Identify potential for self-abuse, suicidality and/or assaultive behavior.
    • Develop age-appropriate interventions for the patient's plan of care.
    • Assess changes in patient status and document interventions accordingly.

Implement patient care.
  • Demonstrate safe and correct medication administration by:
    • Maintaining current knowledge of the medication's purpose and effects for each patient, as demonstrated by correct documentation of medication, as well as observations about responses to medication.
    • Accurately transcribing and implementing physician medication orders.
    • Maintaining a continual awareness of monitoring the expected and unexpected medication efforts including adverse drug reactions, drug/drug or drug/food interactions, or other unexpected consequences of the medication.
    • Regularly conducting and documenting patient education about medications.
    • Maintaining current knowledge about new pharmacologic products, including new medications or medications with new uses/therapeutic action.
  • Identify potential patient care problems, abrupt changes or impending instability in the patient's condition, and exercise leadership to intervene appropriately and prevent adverse patient outcomes.
    • Use appropriate de-escalation techniques.
    • Re-evaluate safety level.
    • Identify alcohol withdrawal syndrome.
    • Identify extra pyramidal side-effects/neuroleptic malignant syndrome signs.
    • Identify significant cardiac and/or respiratory symptoms requiring immediate medical intervention.
  • Identify health education needs of the patient/family that will be addressed before discharge.
    • Implement age-appropriate teaching interventions to meet these educational needs.
    • Document in the patient record and treatment plan.
  • Organize patient care activities and interventions according to patient priorities and preferences, and time constraints.
  • Implement patient care based on established care plans, Hospital policies and procedures, and incorporating the patient's age-specific and cultural needs, as appropriate.

As requested, and contingent on qualified medical professional (QMP) designation, assure that all admissions, transfers, and other related patient care activities are delivered in accordance with associated regulatory requirements.
Adhere to the Nursing department and Hospital's standards of nursing practice and standards of patient care.
  • Participate in continuing education and inservice programs to increase clinical competence and to meet professional needs and goals.
  • Attend 100% of required inservices, as scheduled.

Participate in the Performance Improvement program on an ongoing basis.
  • Assist in the development and implementation of standards of care, such as:
    • safety level of patient.
    • standard care plans.
  • Identify problems with systems, communication patterns, and resources that impact on patient care and suggest possible solutions to Clinical Services manager.

Carry out leadership function in patient care, staff operations, and department organization.
  • Contribute to Nursing functions through active participation on committees and attendance at designated meetings.
  • Take initiative in evaluating and upgrading standards of care.
    • facilitate the admission process;
    • communicate pertinent information regarding status and projected needs;
    • Use sound clinical judgment and decision-making skills;
    • plan patient care assignments that facilitate continuity of care within the guidelines and are based on patient needs, and nursing staff qualifications.
  • Serve as a role model for peers and others in effective use of communication, teaching and leadership skills.
  • Provide complete acuity monitors to the Patient Accounts department, to assist in accurate billing.
  • Maintain a primary caseload, according to standards, and provide direction for patient care.

Participate in projects, tasks and continuing education opportunities to improve professional skills and department systems.
  • Develop goals and objectives for professional growth and discuss ways to achieve them with Clinical Services manager.
  • Take initiative to develop professional skills through continuing education.
  • Discuss, on a regular basis, progress toward work improvement goals with Clinical Services manager.
  • Seek out projects and/or extra tasks to complete, based upon the needs of the patients and department.

Promote department goals and the mission of the Hospital.
  • Communicate goals to fellow staff members.
  • Demonstrate measurable goal achievement.
  • Maintain department policies and procedures.
  • Include requirements and guidelines from external agencies (i.e., Joint Commission, state).
  • Maintain and/or communicate to appropriate party function backlog at a set time.
  • Educate new staff regarding regulations or requirements of those functions that relate to their areas or departments, as directed.
  • Demonstrate acceptance and training of student interns in the department, as directed.

Demonstrate understanding of Joint Commission and other regulatory agency compliance regulations.
  • Involve self in the learning and application of standards relevant to Nursing.
  • Participate in in-services/seminars and other meetings to increase involvement and awareness of regulations.
  • Involve self in the education of other disciplines regarding Nursing department regulations.

Participate in Hospital committees, performance improvement team meetings and team projects, as directed.
  • Demonstrate punctuality and preparedness.
  • Demonstrate effective communication and organizational skills.
  • Contribute in a positive, solution-focused manner.

Participate in the Performance Improvement program.
  • Gain understanding of the performance improvement process.
  • Apply the PI model to your department's activities.
  • Participate and/or create PI teams that lead to improvement in other Hospital areas.
  • Educate and involve self in the Hospital and Nursing department's performance improvement plans.

Conduct self in a professional manner.
  • Demonstrate organizational skills that promote timely response to all inquiries and to task completion.
  • Communicate with all individuals in a positive and professional manner.
  • Attempt to resolve individual issues with peers in a positive, calm manner, with a focus on solution.
  • Communicate concerns and provide solutions for same.
  • Attend seminars to promote professional growth.
  • Demonstrate a positive and professional attitude toward parties (patient families, visitors, vendors, etc.).
  • Comply with the Hospital's policies and procedures, including Human Resources, Infection Control, and Employee Health policies and programs.
  • Use courteous, cooperative, and respectful behavior when working with patients, families, physicians, visitors, and Hospital employees.
  • Demonstrate a working knowledge of Hospital/department policies and procedures.
  • Demonstrate consistent acceptance of professional accountability for own practice shown by follow-through on patient and organizational concerns.
  • Support changes in staffing/scheduling when patient care needs require.
    • Accept reassignment in a positive manner.
    • Demonstrate willingness to adjust work schedule, when able, to meet patient's needs.
  • Recognize need for support, seek appropriate assistance when needed, and offer assistance to peers.
  • Project a professional image by wearing appropriate, professional attire.

Additional Job Description:
Education/Training Requirements:
  • Bachelor's degree in nursing (BSN) preferred.
  • Registered nurse licenses in multiple states issued by State Board of Nursing. Licenses must be in good standing with the State Board of Nursing in the states licensed in. Licensure across multiple states must be maintained and will be based on business needs.
  • American Health Association Healthcare Provider CPR certification or is required within thirty (30) days of date-of-hire. Bi-annual re-certification is required.
  • Telehealth Compliance: Ensure all virtual care delivery adheres to state and federal telehealth regulations, including patient privacy laws (e.g., HIPAA).
  • Digital Health Literacy: Educate patients and their families on how to navigate the virtual care platform and access digital health resources.
  • Formal training in management of the aggressive patient is required within sixty (60) days of date-of-hire. Annual re-certification is required.
  • Previous psychiatric experience with children, adolescents and adults is preferred.
  • Employees at the Child/Adolescent Day Treatment programs licensed under HFS §40 are required to have either training in psychiatric nursing, including training in work with children with mental health disorders, or one (1) year of experience working in a clinical setting with these children.

Pay Transparency Requirements:
Compensation for this role is between $28.34 - $45.50 and placement in the range will vary based on years of experience and education.
The System also includes Rogers Behavioral Health Foundation, which supports patient care, programs, and research; and Rogers InHealth, an initiative that works to eliminate the stigma of mental health challenges.
Registered Nurse Board Certified - Cert, Registered Nurse - Cert
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