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

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Remote Rn Auditor information

See Pittsburgh, PA salary details

$19

$32

$45

How much do remote rn auditor jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote rn auditor in Pittsburgh, PA is $32.03, according to ZipRecruiter salary data. Most workers in this role earn between $27.98 and $35.00 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 Pittsburgh, PA?

For Remote Rn Auditor jobs in Pittsburgh, PA, the most frequently searched job titles are:

What cities near Pittsburgh, PA are hiring for Remote Rn Auditor jobs?

Cities near Pittsburgh, PA with the most Remote Rn Auditor job openings:

Infographic showing various Remote Rn Auditor job openings in Pittsburgh, PA as of August 2026, with employment types broken down into 3% As Needed, 54% Full Time, 15% Part Time, and 28% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $66,613 per year, or $32 per hour.

Learning and Development Trainer Kronos Scheduler - Hybrid, Pittsburgh PA

Highmark Health

Pittsburgh, PA • Remote

Full-time

Posted 21 days ago


Highmark Health rating

7.8

Company rating: 7.8 out of 10

Based on 28 frontline employees who took The Breakroom Quiz


Job description

Company :Allegheny Health NetworkJob Description :

GENERAL OVERVIEW:

Responsible for the research, development, design, and delivery of end-user training and job aid/guide materials, various enterprise technology solutions such as the rollout of Kronos Workforce Scheduler across the enterprise. As a direct report to the Executive Nursing team, this person will leverage internal subject matter experts, cross functional teams, and their own technical and industry-focused knowledge to build and deliver technical and skills-focused training functions.

ESSENTIAL RESPONSIBILITIES:

  • Training and Development Programs: (45%)
  • Create comprehensive training programs on the use and adoption of enterprise technologies such as Kronos Workforce scheduler and skill-focused training functions across the AHN enterprise
  • Plan, research, design audience-specific instructional curricula and educational materials for to support technical and sills-focused training (e.g., user guides, quick reference guides, FAQs, tips and tricks, e-learning).
  • Independently deliver entry and advanced level training for internal audiences.
  • Interpret/use training evaluation data to recommend revision/modifications to training curricula/materials.
  • Assist with the identification of team training needs and develop and deliver training in the appropriate format (instructor led, documentation, quick reference cards, videos, and other content) to meet identified needs.
  • Programs include: (1) increased productivity/effectiveness, (2) new hires, (3) re-training
  • Technical Competencies: (25%)
  • Work with various stakeholders to understand the technical and communications skills needed to deliver the required in a healthcare setting
  • Become an end user subject matter expert on the tools and systems associated with rollout of enterprise technologies
  • Apply change management methodologies to develop sustainable strategies that increase adoption rates when introducing training programs
  • Create multi-platform programs and approaches to synthesize learning opportunities with functional requirements and department expectations.
  • Process & Tools: (25%)
  • Develop & conduct on-site and remote training sessions to cover a variety of topics either independently or with other subject matter experts.
  • Ensure identified audience have been properly trained and prepared as identified
  • Design assessments or success measures to look for learning gaps and create programs to overcome any deficiencies.
  • Proofread and edit own work and work of others to improve quality, readability, and effectiveness of all training deliverables.
  • Other duties as assigned. (5%)

QUALIFICATIONS:
Minimum

  • Bachelor's Degree in clinical or related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree
  • 1-3 years experience creating and delivering meaningful, contextual program content
  • 1-3 years experience with Kronos Workforce Central (WFC), or other leading workforce management software
  • 3-5 years relevant clinical and/or training experience
  • 3-5 years experience in instructional design, curriculum writing, teaching/training, and course development


Preferred

  • RN License, Commonwealth of Pennsylvania

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.


As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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About Highmark Health

Sourced by ZipRecruiter

A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best. Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia, and eastern and northwestern New York with customers in 50 states and the District of Columbia. We passionately serve individual consumers and fellow businesses alike. And our companies cover a diversified spectrum of essential health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions. Our financial position reflects strength and stability, with our year-end 2022 consolidated revenues totaling $26 billion. And we're proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.

Industry

Health care and social assistance and insurance services

Company size

10,000+ Employees

Headquarters location

Pittsburgh, PA, US