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Remote Rn Auditor Jobs in Redding, CA (NOW HIRING)

ProLocums

Hematology/Oncology Physician

Redding, CA · Remote

M-F 8a-5p with weekend call from Friday 5pm to Monday 8am (remote call only). * Weekend shifts ... Support Staff: 1- clinic RN, 2-MAs, 2-front office clerks, 1-quality analyst/billing, and 10 ...

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Remote Rn Auditor information

See Redding, CA salary details

$20

$35

$49

How much do remote rn auditor jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote rn auditor in Redding, CA is $35.10, according to ZipRecruiter salary data. Most workers in this role earn between $30.67 and $38.37 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
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Remote Rn Auditor jobs near you

Clinical Quality Assurance Nurse Auditor (32604)

ExamWorks LLC

Redding, CA • On-site, Remote

$34 - $35/hr

Full-time

Posted 12 days ago

ExamWorks rating

8.0

Company rating: 8.0 out of 10

Based on 23 frontline employees who took The Breakroom Quiz

Job description

*** All candidates must reside in the Pacific or Central Time Zone. You must also be a Registered Nurse (RN) with an active license and have ICU experience. ***
Why Join Us?
Are you a meticulous RN who loves diving into clinical data? Do you want to use your medical expertise outside of direct patient care to impact healthcare integrity?
As our Clinical Quality Assurance Nurse Auditor, you will be the final line of defense for medical accuracy and compliance. Your expertise ensures that clinical reports, medical record chronologies, and billing reviews are bulletproof, evidence-based, and of the highest professional standard. This is a high-impact role where your sharp clinical eye directly protects patients, providers, and healthcare standards.
What You Will Do (Your Impact)
  • Champion Report Excellence: Review and refine critical medical reports, chronologies, and provider bills to ensure flawless clinical accuracy and professional presentation.
  • Uphold Evidence-Based Medicine: Verify that every clinical determination is backed by robust, current citations from reputable medical journals.
  • Act as a Strategic Partner: Collaborate directly with reviewing physicians to clarify complex case details and resolve inconsistencies.
  • Guard Compliance & Integrity: Ensure full alignment with federal ERISA regulations, state mandates, and client specifications, while strictly verifying that no conflicts of interest exist.
  • Solve Problems Proactively: Help resolve client quality questions, recover missing medical data, and provide management with strategic insights on consultant performance.

What You Bring to the Team
  • Clinical Expertise: Active Registered Nurse (RN) license with strong clinical judgment.
  • A Sharp Eye for Detail: Exceptional proofreading, auditing, and analytical skills.
  • The Ability to Connect Dots: Deep understanding of medical coding, hospital billing, and record chronologies.
  • Regulatory Knowledge: Familiarity with state and federal healthcare mandates (like ERISA) is a massive plus.
  • Communication Skills: Ability to give constructive feedback to medical peers and providers with professionalism and clarity.

Organ donations
Organ Procurement
Intensive Care Unit (ICU)
MINIMUM REQUIRED QUALIFICATIONS
Education and/or Experience
Bachelor/Associate degree in nursing or related field; or minimum five years related experience; or equivalent combination of education and experience. Experience with medical terminology, medications, medical specialties and treatment protocols required. Experience in the insurance industry preferred.
Certificates, Licenses, Registrations
RN license
ESSENTIAL JOB FUNCTIONS
  • Evaluate clinical information received, write and/or review various reports including, but not limited to, Medical Record Reviews, Medical Record Chronologies, Provider Bill Reviews, Coding Reviews, Hospital Bill Reviews, List of Missing Records, Medical Bill Apportionments, Mock Billing Invoice and Medical Summary Statements.
  • Perform quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.
  • Ensure clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.
  • Ensure that all client instructions and specifications have been followed and that all questions have been addressed.
  • Ensure each review is supported by clinical citations and references when applicable and verify that all references cited are current and obtained from reputable medical journals and/or publications.
  • Ensure the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.
  • Ensure the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.
  • Verify that the reviewer has attested to only the facts and that no evidence of reviewer conflict of interest exists.
  • Ensure the provider credentials and signature are adhered to the final report.
  • Identify any inconsistencies within the report and contacts the Reviewer to obtain clarification, modification or correction as needed.
  • Contact the appropriate person to recover any missing documentation or verify charges.
  • Assist in resolution of customer complaints and quality assurance issues as needed.
  • Ensure all federal ERISA or state mandates are adhered to at all times.
  • Provide insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.
  • Promote effective and efficient utilization of company resources.
  • Participate in various continuing education requirements and or training activities.
  • Perform other duties as assigned.

ExamWorks is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.
Equal Opportunity Employer - Minorities/Females/Disabled/Veterans

What ExamWorks employees say

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Hours and flexibility

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About ExamWorks

Sourced by ZipRecruiter

ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Atlanta, GA, US

Year founded

2008

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