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Remote Rn Auditor Jobs in Providence, RI (NOW HIRING)

Coding and Compliance Auditor

Brockton, MA · On-site +1

$27.50 - $31.25/hr

This is a hybrid position: 2 days onsite; 3 days remote option. Job Responsibilities: Establishes ... Registered Health Information Administrator (AHIMA-American Health Information Management ...

Coding and Compliance Auditor

Stoughton, MA · On-site +1

$28.75 - $32.75/hr

This is a hybrid position: 2 days onsite; 3 days remote option. Job Responsibilities: Establishes ... Registered Health Information Administrator (AHIMA-American Health Information Management ...

Case Management Certification CCM preferred Requires an RN with unrestricted active license in Georgia. REQUIRED : Must have experience working a remote position previously. Must have case management ...

Case Management Certification CCM preferred Requires an RN with unrestricted active license in Georgia. REQUIRED : Must have experience working a remote position previously. Must have case management ...

This is a full-time position (40 hours per week), working Monday through Friday in a fully remote ... An active, unrestricted RN license from the United States and in the state of hire, OR, active ...

Clinical background (MA, LPN, RN, or similar) strongly preferred * Experience with a major EHR ... A combination of remote, on-site, and office-based work applies depending on project needs.

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Remote Rn Auditor information

See Providence, RI salary details

$19

$33

$47

How much do remote rn auditor jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for remote rn auditor in Providence, RI is $33.33, according to ZipRecruiter salary data. Most workers in this role earn between $29.13 and $36.44 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).
What job categories do people searching Remote Rn Auditor jobs in Providence, RI look for? The top searched job categories for Remote Rn Auditor jobs in Providence, RI are:
Infographic showing various Remote Rn Auditor job openings in Providence, RI as of July 2026, with employment types broken down into 100% Contract. Highlights an 100% Remote job distribution, with an average salary of $69,319 per year, or $33.3 per hour.
$1,000 Sign-On Bonus! Field Registered Nurse - (Hybrid Remote -Brockton, MA)

$1,000 Sign-On Bonus! Field Registered Nurse - (Hybrid Remote -Brockton, MA)

Maximus

Brockton, MA • On-site, Remote

$78K - $99K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 22 days ago


Maximus rating

6.9

Company rating: 6.9 out of 10

Based on 297 frontline employees who took The Breakroom Quiz

280th of 487 rated business services


Job description

General information
Job Posting Title
$1,000 Sign-On Bonus! Field Registered Nurse - (Hybrid Remote -Brockton, MA)
Date
Monday, July 6, 2026
City
Brockton
State
MA
Country
United States
Working time
Full-time
Description & Requirements
Make a Meaningful Impact as a Field Registered Nurse
Are you an RN looking for a rewarding career outside of the hospital? Join Maximus and help Massachusetts residents access the care and services they need to live safely and independently in their communities. This is an opportunity to build meaningful one-on-one relationships with members while enjoying a predictable Monday-Friday, 8:00 AM-5:00 PM schedule, the independence to manage your day, and the satisfaction of making a lasting difference.
As a Clinical Assessor, you'll conduct comprehensive in-person assessments in members' homes, hospitals, and other community settings to evaluate medical, functional, behavioral health, and social needs. You'll develop person-centered service plans, collaborate with healthcare providers and community partners, educate members and caregivers on available resources, and advocate for vulnerable populations. Your work will directly support individuals in maintaining their independence while ensuring high-quality, compliant care through the MassHealth Long-Term Services and Supports (LTSS) program.
This is a field-based position serving a designated geographic region, with eligible business travel reimbursed at the current IRS federal mileage rate, currently $0.76 per mile. Territories are assigned to help minimize travel while allowing you to provide essential services throughout your community.
If you're passionate about community-based nursing, value autonomy, and want to improve lives every day, we'd love to hear from you.
Now offering a $1,000 sign-on bonus! Join our team as a Field Registered Nurse supporting members throughout the state of Massachusetts while enjoying the flexibility of a hybrid remote schedule. Apply today to learn more about our competitive compensation, comprehensive benefits, and rewarding career opportunities.
About the Program
The Commonwealth of Massachusetts Executive Office of Health and Human Services (EOHHS), through the MassHealth Office of Long-Term Services and Supports (LTSS), provides a robust system of care for individuals of all ages with disabilities and chronic conditions. The program is designed to help Massachusetts residents live with independence and dignity, participate in their communities, and improve their overall quality of life.
As the Public Assessors Option (PAO), Maximus provides education to providers, conducts comprehensive in-person assessments, and offers call center support for the following LTSS programs:
  • Adult Day Health (ADH)
  • Adult Foster Care (AFC)
  • Group Adult Foster Care (GAFC)
  • Personal Care Attendant (PCA)

As the PAO, Maximus serves as a point of entry for LTSS inquiries and initial contacts while conducting timely, high-quality, consistent, and accurate assessments to determine clinical eligibility for these programs.
Why Nurses Choose Maximus
Monday-Friday schedule (8:00 AM-5:00 PM)
IRS federal mileage reimbursement for eligible business travel
Independence to manage your own daily schedule
Performance bonus opportunities
Meaningful one-on-one interactions that improve lives
Professional growth and tuition reimbursement
Comprehensive benefits and 401(k) with company match
Essential Duties and Responsibilities:
- Responsible for completing medical and/or behavioral health assessments within contract requirements
- Conducts on-site, video call and/or telephonic assessments to determine an individual's needs for services and supports, eligibility, level of care or related outcome
- Perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies and procedures.
- Travel may be required based on program contract requirements
- Performs other related duties as assigned.
-Conduct assessments using standardized tools (UCA, TTT) to identify medical, functional, and social needs
-Develop and manage service plans for complex or high-acuity members, coordinating with healthcare providers, case managers, and community resources
-Evaluate eligibility for recommended referrals to other professionals or agencies
-Maintain compliance with state and federal regulations, Medicaid/LTSS program guidelines, and electronic health record systems
-Collaborate with care teams to revise care plans as needs change, ensuring alignment with member goals
-Provide education to members, families, and caregivers on available services and options
-Document assessments and care activities accurately to support billing, compliance, and quality reporting
-Advocate for members to help them remain in preferred living environments and maintain independence
Minimum Requirements
- Current Registered Nurse (RN) license valid in the state of practice is required
- High School Degree or equivalent required
- Minimum 2 years of clinical experience required
- An active, unencumbered Registered Nurse (RN) license in the state of Massachusetts.
- Minimum of two (2) years of relevant post-graduate clinical experience as a Registered Nurse.
- Experience working with vulnerable populations, including individuals with behavioral health needs, intellectual and developmental disabilities (I/DD), and those requiring long-term services and supports (LTSS).
- Experience conducting clinical or functional assessments in home or community-based settings, such as behavioral health evaluations, level of care determinations, or utilization reviews.
- Knowledge of community-based services, care coordination, and person-centered care planning.
- Familiarity with MassHealth programs, LTSS, and Home and Community-Based Services (HCBS) waiver programs.
- Proficiency in Microsoft Office applications.
Experience documenting assessments in electronic systems.
Home Office Requirements
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
- Minimum 5 Mpbs upload speeds
- Private and secure workspace
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EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.
Minimum Salary
$
45.67
Maximum Salary
$
48.08

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