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Remote Rn Auditor Jobs in Naples, FL (NOW HIRING)

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Remote Rn Auditor information

See Naples, FL salary details

$18

$31

$43

How much do remote rn auditor jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for remote rn auditor in Naples, FL is $31.07, according to ZipRecruiter salary data. Most workers in this role earn between $27.16 and $33.94 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.

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.

Can you work remotely as an auditor?

Remote Rn Auditor positions are available and typically involve reviewing healthcare documentation and compliance from a home office. These roles often require strong computer skills, familiarity with auditing software, and adherence to confidentiality standards, making remote work feasible for qualified professionals.

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.

How to make $300,000 as a nurse online?

A Remote RN Auditor can increase earnings by gaining specialized certifications, such as in coding or compliance, and working for multiple clients or agencies to maximize income. Building a strong reputation and leveraging telehealth platforms can also lead to higher-paying opportunities, but reaching $300,000 annually typically requires extensive experience, advanced skills, and possibly additional roles or consulting work.

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 highest paying remote nurse job?

The highest paying remote nurse jobs typically include roles such as remote nurse anesthetists, nurse practitioners, and clinical nurse specialists, with salaries often exceeding $100,000 annually. These positions usually require advanced certifications, specialized skills, and experience in telehealth or case management environments.

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.

How do you become a nurse auditor?

To become a nurse auditor, you typically need a registered nurse (RN) license and experience in healthcare or medical billing. Many employers prefer candidates with knowledge of insurance claims, coding, and auditing procedures, and some may require certification such as the Certified Professional Medical Auditor (CPMA).
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Remote Rn Auditor jobs near you

Cardiology, Market Physician Executive (MPE)

Monogram Health

Bonita Springs, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 22 days ago

Job description

Position: Market Physician Executive (MPE)

Monogram Market Physician Executive (MPE) are mission driven physician leaders who are dedicated to improving the well-being, quality of life, and health outcomes for our patients. The MPE will lead our in-home multi-specialty polychronic care model in an assigned market. Each market is comprised of 5-10 practices led by local advanced practice providers (APP), registered nurses(RN), licensed clinical social workers (LCSW), and pharmacists (PharmD). The MPE will collaborate with Monogram Health’s Multi Specialty Platform to leverage employed specialists to deliver in-home specialty care. Monogram Health deploys a proven risk based model to ensure health equity and health equality leveraging proprietary next generation AI algorithms to predict the appropriate level of care. Aligning with the quadruple AIM, the MPE will focus to improve patient experience, population health outcomes, provider satisfaction and lower costs. The primary goal of each MPE to deliver exceptional outcomes through disease detection and evidence based clinical pathways and disease treatment.

Reporting to the Region President, the Market Physician Executive (MPE) is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market. In support of the advance practice providers the MPE is expected to review and approve care plans and direct the treatment plans for our patients. The MPE will collaborate with community physicians, facilities, and partners in peer to peer and direct patient care decision making.

Roles and ResponsibilitiesClinical Guidelines Execution – 25%
  • Know, understand, and deliver on Monogram Health’s proprietary evidenced based clinical pathways.
  • Ensure adherence to established clinical guidelines and Monogram Model of Care.
  • Review and approve APP, RN, SW and PharmD plans of care.
  • Appropriate and timely patient document within Salesforce and Athena clinical activities, interventions, and tasks.
  • Review, approve and co-sign APP encounters.
  • Clinical and Operations Performance and Quality Improvement – 25%
  • Overall accountability for reducing total cost of care and Medical Loss Ratio.
  • Responsible for clinical outcomes to include, but not limited to, clinical interventions closure, inpatient/outpatient
  • utilization, pharmacological prescribing and therapy management, multi-specialty platform and HEDIS/Gap Closure
  • Actively lead daily high risk and concurrent review rounds.
  • Direct supervision of front line clinical and operations team members.
  • Oversee and delegate operational responsibility to Market Manager, to deliver on daily operations, such as patient engagement, scheduling, administrative oversight, strategic implementations, and P&L management.
  • Regularly assess and present market performance and outcomes to Executive and Senior Leaders .
Patient Care and Treatment – 25%
  • Provide direct and indirect patient care (including diagnosis and treatment of disease).
  • Engage with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways.
  • Conduct Peer to Peers with community, facility, and health plan partners.
  • Order labs, referrals, and complete actions to drive patient outcomes, close care gaps, and Clinical Intervention closure.
Population Health Management (PHM) – 20%
  • Provide clinical guidance and direction to Market teams to drive Population Health Management activities, including
  • identifying and intervening on High-Risk Patients, formulating strategies to reduce admissions/readmissions, complete
  • quality post hospital discharge visits, and improving the quality of visits.
  • Collaborate with Medical Economics, Finance and other stakeholders to root cause and action against utilization trends impacting care and outcomes.
  • Present and guide population health strategies in clinical and operational meetings.
  • Conduct patient reviews to target high utilizers, high risk and high opportunity patients and patient cohorts.
Miscellaneous – <5%
  • Participate in Monogram On-Call activities Needs will vary; 7 days on call minimum once/quarter.
  • Provide coverage for other MPEs, during PTO or vacancy, as needed.
Position Requirements
  • Must be willing and able to obtain hospital privileges at required facilities.
  • This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel.
  • Demonstrated experience applying evidence based clinical criteria.
  • Experience in renal care and geriatrics.
  • Strong management and communication skills.
  • Active, unrestricted state medical license required in each state within the market.
  • Experience with high need Medicare Advantage and managed Medicaid populations.
  • Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.
  • Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states.
  • MD (Medical Doctor) or DO degree from an accredited medical school.
  • BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine,
  • Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.
Benefits
  • Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
  • Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
  • Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave
  • Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts 
About Monogram Health:

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and p

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