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Remote Rn Auditor Jobs in Mount Pleasant, SC (NOW HIRING)

Current SC RN license (or equivalent clinical credential if broadening applicant pool) Experience ... Experience leading remote teams Physician Engagement: * Experience developing, delivering physician ...

Remote Rn Auditor information

See Mount Pleasant, SC salary details

$18

$31

$44

How much do remote rn auditor jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for remote rn auditor in Mount Pleasant, SC is $31.53, according to ZipRecruiter salary data. Most workers in this role earn between $27.55 and $34.47 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 are popular job titles related to Remote Rn Auditor jobs in Mount Pleasant, SC?

For Remote Rn Auditor jobs in Mount Pleasant, SC, the most frequently searched job titles are:

What job categories do people searching Remote Rn Auditor jobs in Mount Pleasant, SC look for?

The top searched job categories for Remote Rn Auditor jobs in Mount Pleasant, SC are:

What cities near Mount Pleasant, SC are hiring for Remote Rn Auditor jobs?

Cities near Mount Pleasant, SC with the most Remote Rn Auditor job openings:

Strategic Clinical Quality Manager - South Carolina Region

Fresenius Medical Care

North Charleston, SC • On-site, Remote

Full-time

Re-posted 29 days ago


Fresenius Medical Care rating

6.7

Company rating: 6.7 out of 10

Based on 1,334 frontline employees who took The Breakroom Quiz

532nd of 895 rated healthcare providers


Job description

Position Location Details - You will be able to work from your home location in United States.
This is a remote opportunity within the Low Country, Charleston and NE Columbia operational area! The individual selected must reside in the South Carolina Region. Travel required!
• Monday-Friday schedule with no night or weekend shifts.
• 80% Travel Required - multiple area assignments
• Eligible for an annual bonus based on both company and individual performance.
• Position covers all 3 modalities (incenter, inpatient, home therapies).
• Chance to serve as a quality improvement subject matter expert.
• Ability to have a significant influence in supporting clinics, patients, and care teams.
• Career growth and advancement opportunities within the organization.
PURPOSE AND SCOPE:
Develops, implements, maintains and evaluates an effective, data-driven, quality assessment and performance improvement program(s) with participation by other members of the interdisciplinary team. Serves as a quality improvement champion and role model by promoting and supporting the use of Continuous Quality Improvement (CQI) principles, methods, and tools to improve processes and patient outcomes at the facility and area levels. Must have effective communications among the interdisciplinary team (IDT) and must produce effective quality assessment and performance improvement activities which positively influence the assigned dialysis clinics clinical quality outcomes. The scope of the clinical quality oversight of the position covers all treatment modalities (e.g. in-center, home hemodialysis and home peritoneal dialysis), and in collaboration with the IDT, is responsible for the monitoring data/information; prioritizing areas for improvement; determining potential root causes; developing, implementing, evaluating, and revising plans that result in improvements in clinical quality outcomes in dialysis facilities within a geography.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
  • Facilitates the implementation and integration of the FKC Quality programs and initiatives into the facilities' standard operating procedures through teamwork and collaboration with area and facility clinical, interdisciplinary and operations teams.
  • Serves as a subject matter expert for clinical quality matters when collaborating with other RNs and members of the Area Quality Team. Identifies clinical quality improvement opportunities in the assigned area to achieve CMS Conditions for Coverage and FMS quality program requirements.
  • Manages the tactical execution of Quality and other clinical initiatives, interventions and standardized education materials with facility RNs within the assigned area.
  • Provides general direction, nursing and clinical guidance related to appropriate theoretical perspectives and feedback based upon professional standards and FMCNA guidelines to support facility RNs within the assigned area in achieving the desired outcomes in the following: quality, patient satisfaction, teamwork, unit culture, and employee satisfaction.
  • Collaborates with appropriate stakeholders including but not limited to the Clinical Quality leadership, Education, Clinical Services, Regulatory and Compliance to take the appropriate steps to facilitate achievement of quality goals and ongoing patient safety improvement.
  • Mentors and trains staff to collect, trend, and analyze data on a day to day basis to monitor the effectiveness of their clinical and operational processes to impact patient centered care resulting in improved patient outcomes and satisfaction and decreased morbidity and mortality.
  • Utilizes evidenced based and best demonstrated practices to address barriers to quality improvement. This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and Standing Orders, clinical pathways and clinical policies and procedures to improve care coordination and care delivery.
  • Leverages available tools, resources and informatics technology to focus on targeted patient populations.
  • Applies current knowledge of FMS clinical and administrative policies and procedures, available internal resources, working knowledge of CMS Conditions of Coverage for ESRD facilities, Value Based Payer Programs, knowledge of quality improvement concepts, principles and practices to perform tasks and duties.
  • Utilizes quality improvement techniques to promote collaboration between facilities and areas to share processes and strategies for success. Mentors and assists facilities in identifying effective practices applicable to their needs, in testing for desired results, and the adoption and implementation of these practices.
  • Under the direction of Clinical Quality leadership, provides guidance, interpretation and subject matter expertise to clinical and operations teams regarding quality related clinical policies and procedures, clinical standards, quality improvement tools and electronic applications.
  • Performs desk review of facility Quality Assessment and Performance Improvement (QAPI) documentation and attends QAPI meetings at a frequency determined by Clinical Quality leadership. Collaborates with facility management staff to evaluate the effectiveness of the facility QAPI Program and CQI activities utilizing the following processes.
  • Reviews completion of facility QAI activities including but not limited to adherence to the QAI calendar, completion of QAI tools and electronic applications
  • Attends and participates in regional, area, facility and team meetings as appropriate which may include quality team building and staff development and other meetings as appropriate. Collaborates with appropriate management staff as needed to achieve effective inter-disciplinary, intra-disciplinary and clinic relationships.
  • Identifies risk areas and opportunities for improvement.
  • Assists with root cause analysis and action plan development and evaluation as needed.
  • Provides written or verbal recommendations to facility and area management.
  • Utilizes adult education principles in the execution of education programs and processes that facilitate the implementation and incorporation of the company's quality standards and the practice of Continuous Quality Improvement in facility standard procedures.
  • Accountable for outstanding customer service to all external and internal customers, including patients, staff, physicians, field management and staff, and payers, including disease management entities.
  • Develops and maintains exceptional working relationships through effective and timely communication with all customers
  • Under the direction of Clinical Quality leadership, assists with various projects as assigned.
  • Performs other related duties as assigned.

PHYSICAL DEMANDS AND WORKING CONDITIONS:
  • The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
    • Day to day work includes desk and personal computer work and interaction with facility staff and physicians.
    • The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
  • The position requires travel between assigned facilities and various locations within the community, approx.. 40-60%. Travel to Regional, Division and Corporate meetings may be required

SUPERVISION:
  • None

EDUCATION AND REQUIRED CREDENTIALS:
  • BSN or Bachelor's Degree in healthcare related field preferred or an equivalent combination of education and experience
  • Registered Nurse required
  • Certification in Nephrology Nursing or quality preferred.

EXPERIENCE AND SKILLS:
  • 3+ years dialysis experience required
  • 3+ years management experience in a clinical leadership role
  • Strong organizational, critical thinking and customer service skills
  • Demonstrated leadership competencies and adaptability to changes in priorities
  • Ability to work collaboratively with other members of the team, gain support and input while participating in quality improvement activities
  • Strong verbal and written communications skills,
  • Ability to analyze and propose alternate solutions, assist in resolving sensitive to complex issues

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

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About Fresenius Medical Care

Sourced by ZipRecruiter

We are a Team of more than 70,000 with one guiding Principle Patients First. This promise starts with providing the most comprehensive care for people living with Chronic Kidney Disease and extends to Innovative Solutions that are redefining Healthcare and setting the industry standard. From evolving home Dialysis and Patient education programs to improving patient care to providing World Class Research and Data driven insights. Our vertically integrated network tirelessly seeks new ways to improve the quality of our Patients' lives. We believe each of us can make an impact and together we can change an industry. Our Mission is to Provide Superior care that improves the quality of life of every patient, every day, setting the standard by which others in the Healthcare Industry are judged. And none of us does it alone. We bring together the brightest minds in kidney care to Dream, Research, and Innovate.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Waltham, MA, US

Year founded

1996

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