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

MedWatch, LLC

Case Manager Assistant / LPN

Lake Mary, FL · On-site +1

$23 - $27/hr

The Case Manager Assistant performs all functions under the direct management and supervision of the RN Case Manager. This is a Remote (work from home) position. License Requirements: * Licensed ...

MedWatch

Case Manager Assistant / LPN

Lake Mary, FL · Remote

The Case Manager Assistant performs all functions under the direct management and supervision of the RN Case Manager. This is a Remote (work from home) position. License Requirements: * Licensed ...

Psynergy Health

Clinical Account Manager

Orlando, FL · Remote

$85K - $90K/yr

... and remote care delivery. 3. Cross-Functional Advocacy * Act as the internal "Voice of the ... Active Registered Nurse (RN) license, Nurse Practitioner (NP), Physician Assistant (PA), or ...

Scribe-X

Remote Medical Scribe

Orlando, FL · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...

FCCI Insurance Group

Medical Case Manager

Lake Mary, FL · On-site +1

$62K - $96K/yr

We are seeking a licensed Registered Nurse to provide telephonic case management on assigned ... remote. In exchange for your talents, FCCI offers competitive salaries and an excellent benefits ...

Oscar Health

Physician - Virtual Urgent Care

Orlando, FL · Remote

$227K - $298K/yr

... remote point of care diagnostics * Participate in collaborative care model with various care team members including but not limited to registered nurses, medical assistants, PCPs, behavioral health ...

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Remote Rn Auditor information

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How much do remote rn auditor jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for remote rn auditor in Orlando, FL is $30.80, according to ZipRecruiter salary data. Most workers in this role earn between $26.92 and $33.65 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.
More about Remote Rn Auditor jobs
What are popular job titles related to Remote Rn Auditor jobs in Orlando, FL? For Remote Rn Auditor jobs in Orlando, FL, the most frequently searched job titles are:
What job categories do people searching Remote Rn Auditor jobs in Orlando, FL look for? The top searched job categories for Remote Rn Auditor jobs in Orlando, FL are:
What cities near Orlando, FL are hiring for Remote Rn Auditor jobs? Cities near Orlando, FL with the most Remote Rn Auditor job openings:
Remote Rn Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in Orlando, FL as of August 2026, with employment types broken down into 75% Full Time, 16% Part Time, and 9% Contract. Highlights an 100% Remote job distribution, with an average salary of $64,055 per year, or $30.8 per hour.

Case Manager / RN (Licensed in all 50 states)

MedWatch, LLC

Lake Mary, FL • On-site, Remote

$72K - $81K/yr

Full-time

Re-posted 27 days ago

Job description

Scope:
The Case Manager manages an individual caseload using the case management process in order to meet the needs of the MedWatch, LLC customers and consumers. This includes, but is not limited to, authorization of services, review of treatment plans for medical necessity, standards of care, and ongoing communication with all members of the health care team. This is a remote/work-from-home position.
License Requirements:
  • Registered Nurse (current active and unrestricted, in state of current practice and residence, within the United States or its territories.)
  • Being licensed in ALL 50 States (including non compact states) - MedWatch reimburses for renewals of RN licenses outside of primary state of residence.
Education:
  • R.N., a bachelor's degree in a health-related field preferred.
Experience:
  • 7 years of varied clinical experience preferred.
Responsibilities:
  • The Registered Nurse Case Manager will practice within the scope of his/her licensure.
  • Review all medical data which can be provided to establish, update and maintain accountability for a case management plan which will incorporate contact with providers, payers, with the patient and with the patient's primary caregiver.
  • Assess problems and determine goals and actions designed to meet the needs of the patient and document into the case notes. Determine if these goals are long term or short term and how the patient can be expected to meet those goals. Include the action/intervention the case manager will take to work towards achieving those goals.
  • Make contact with the payer office to find out and understand any benefit constraints that will have an impact on the plan of action.
  • Proceed with contacting medical care providers and with equipment vendors to verify medical necessity of care or equipment that has been ordered.
  • Make care arrangements for quality patient care according to the needs of the patient, the physician's orders and the benefits available.
  • The Case Manager will work in conjunction with the Case Management Assistant to manage case management files, exclusive of Assessment and/or Care Plan activities, and will provide input in the Annual Performance Evaluation of the CM Assistant assigned. The Case Manager will maintain responsibility for the Case Management file.
  • Be aware of any alternative treatment possibilities that may allow the patient to reach wellness goal(s). If there are no benefits available for your recommended alternative treatments, provide to the payer a cost-benefit analysis to demonstrate that extra-contractual services will enhance the patient's medical condition and will be cost-effective to the benefit plan.
  • Become familiar with community resources and funding sources so that the patient can receive quality health care and conserve health benefit dollars. Many agencies exist which provide assistance to persons in financial need or to provide information to persons with specific medical conditions.
  • Maintain case in computer system documenting case actions for each patient under your case management. Complete all aspects of case in the computer. Prepare timely reports to the payer to detail all case actions, the results of those actions, and the continuing case management plan.
  • Maintain billing as appropriate in computer system.
  • Continue to maintain contact with the providers and with the patient across the continuum of care to be sure that patient needs are being met. On any cases which include a chronic condition keep the file open for periodic contacts to verify the clinical status of the patient and additional medical needs.
  • Negotiate with providers to maximize the medical benefits available to the patient. Make network referral as appropriate.
  • Act upon any awareness of non-medical issues which involve the patient's safety or welfare. Attempt to direct the patient or family to appropriate providers or community resources, or to personally notify appropriate authorities. Consult with the CM supervisor on a regular basis, and keep the supervisor informed regarding any complaints which may occur about case management services or any issues which arise which the case manager is not competent to handle or does not have the expertise to handle.
  • Adhere to all company policies as stated in the employee handbook.
  • All case managers will possess a URAC-recognized certification in Case Management within 3 years of hire. Participate in the Quality Management Program by adhering to all company policies and procedures and identifying opportunities for improvement to ensure quality services are rendered to clients and customers.
  • This position is eligible for a bonus program.
The salary range for this position is from $72,000 to $81,000 annually.
Work Environment / Physical Demands: This position is in a typical home office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment.
We are an Equal Opportunity Employer, including disability/veterans.

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