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Remote Rn Auditor Jobs in Plano, TX (NOW HIRING)

Frontline Source Group

Controller, Remote

Dallas, TX · Remote

Company Profile Our client is a highly respected SEC-registered investment management firm ... auditors, tax advisors, compliance consultants, and other third-party service providers Lead ...

7092

Revenue Integrity Educator III

Dallas, TX · Remote

... Auditor within 1 Year Preferred * Education Bachelor's Degree * Licenses and Certifications (RN) REGISTERED NURSE Upon Hire JOB DUTIES * Serves as a professional billing integrity project leader, for ...

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All JobsRn Auditor JobsRemote Rn Auditor JobsRemote Rn Auditor Jobs in Plano, TX

Remote Rn Auditor information

See Plano, TX salary details

$18

$31

$44

How much do remote rn auditor jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for remote rn auditor in Plano, TX is $31.57, according to ZipRecruiter salary data. Most workers in this role earn between $27.60 and $34.52 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.
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Remote Rn Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in Plano, TX as of September 2026, with employment types broken down into 4% As Needed, 83% Full Time, 4% Part Time, and 9% Contract. Highlights an 100% Remote job distribution, with an average salary of $65,673 per year, or $31.6 per hour.

HEDIS Review Nurse - Remote - Contract

Dallas, TX • Remote

HireOps Staffing, LLC
51 - 200 employees
Learn more about HireOps Staffing, LLCexternal

$42/hr

Full-time

Re-posted 7 days ago

Job description

This is a contract assignment that will start right away and end on April 30th 2024


Review Nurse


SUMMARY DESCRIPTION:


The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for reviewing and accurately performing comprehensive review of medical records to abstract relevant clinical data during HEDIS. HEDIS abstractions are completed in accordance with NCQA guidelines and technical specifications. Additional responsibilities include but not limited to folder and file management, annotating medical records and saving completed documents with correct naming conventions on a shared drive as well as data entry into QSHR.


ESSENTIAL FUNCTIONS:

  • Abstract medical records
  • Apply product/plan specific abstraction criteria/requirements during medical record review process
  • Maintain defined productivity volumes
  • Sustain accuracy rate of 95% during abstraction and data entry throughout the HEDIS survey
  • Perform quality reviews of abstracted medical records as assigned
  • Ensure open and honest communication with management/designee regarding development or assistance needed throughout project
  • Escalate work related challenges/issues to Senior Director or designee
  • Attend scheduled daily and ad-hoc meetings with HEDIS Project Manager, and /or Quality Management Specialist/ designee to discuss project status, open issues and productivity
  • Comply with HIPAA, PHI, patient confidentiality, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies
  • Other duties as assigned

JOB REQUIREMENTS:

  • Registered Nurse (RN)/ Licensed Practical Nurse(LPN) with unrestricted license
  • 2 years’ HEDIS abstraction/over-reading experience
  • Data entry proficiency
  • Working knowledge PDF, Word and Excel
  • Excellent written and communication skills
  • Database management

 Preferred Skills:

  • Experience in Pediatrics, Cardiology, Endocrinology and/or Obstetrics
  • QSHR proficiency