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Remote Rn Auditor Jobs in Rockford, IL (NOW HIRING)

Remote Clinical Quality Assurance Specialist

Rockford, IL · Remote

$26.50 - $28.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Clinical Quality Assurance Coordinator (RN/LPN Required)Make an Impact on Healthcare Quality Are ... remote position. Application Deadline This position is anticipated to close on Aug 28, 2026. About ...

This is a fully remote role but candidates must have a valid RN license in Illinois*** Position Purpose: Care Review Clinician works with the Utilization Management team primarily responsible for ...

New

Manager, Care Management

Freeport, IL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

Manager, Care Management

Dekalb, IL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

Manager, Care Management

Dekalb, IL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

Manager, Care Management

Rockford, IL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

Manager, Care Management

Freeport, IL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

Manager, Care Management

Dekalb, IL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

Manager, Care Management

Freeport, IL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

Manager, Care Management

Rockford, IL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

Manager, Care Management

Rockford, IL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

Remote Rn Auditor information

See Rockford, IL salary details

$19

$33

$46

How much do remote rn auditor jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for remote rn auditor in Rockford, IL is $33.02, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $36.11 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 Rockford, IL?

For Remote Rn Auditor jobs in Rockford, IL, the most frequently searched job titles are:

What job categories do people searching Remote Rn Auditor jobs in Rockford, IL look for?

The top searched job categories for Remote Rn Auditor jobs in Rockford, IL are:

What cities near Rockford, IL are hiring for Remote Rn Auditor jobs?

Cities near Rockford, IL with the most Remote Rn Auditor job openings:

Remote Clinical Quality Assurance Specialist

TEKsystems

Rockford, IL • Remote

$26.50 - $28.50/hr

Contractor

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago


Job description

Clinical Quality Assurance Coordinator (RN/LPN Required)Make an Impact on Healthcare Quality

Are you a detail-oriented Registered Nurse (RN) or Licensed Practical Nurse (LPN) with a passion for quality, compliance, and clinical excellence? We are seeking a Clinical Quality Assurance Coordinator to join our growing team and play a vital role in ensuring the accuracy, integrity, and compliance of clinical peer review reports.

This position is ideal for a nursing professional who enjoys analyzing clinical documentation, collaborating with medical professionals, and helping maintain the highest standards of healthcare quality.


What You'll Do

As a Clinical Quality Assurance Coordinator, you will be responsible for reviewing clinical reports and ensuring compliance with client requirements, regulatory standards, and company quality expectations.

Key Responsibilities
  • Perform comprehensive quality assurance reviews of peer review reports, correspondence, addendums, and supplemental reviews.
  • Verify that all recommendations and determinations are supported by clear, concise, evidence-based clinical rationale.
  • Ensure client instructions, specifications, and case questions have been fully addressed.
  • Review clinical citations and references for accuracy, relevance, and currency.
  • Ensure reports maintain the highest standards of professionalism, quality, formatting, and presentation.
  • Verify appropriate physician specialty reviews are completed in accordance with client requirements and state mandates.
  • Confirm reviewer attestations, provider credentials, signatures, and conflict-of-interest requirements are properly documented.
  • Identify report inconsistencies and collaborate with peer reviewers to obtain clarifications, corrections, or modifications.
  • Support the resolution of client concerns and quality assurance issues.
  • Ensure adherence to federal ERISA regulations, state mandates, and internal compliance standards.
  • Provide feedback to leadership regarding consultant quality, compliance, and availability.
  • Participate in training, educational opportunities, and quality improvement initiatives.
  • Assist with additional projects and duties as assigned.

Required QualificationsMust Have
  • Current, active RN or LPN license required
  • Strong clinical knowledge and understanding of medical terminology and healthcare documentation
  • Exceptional attention to detail and analytical skills
  • Ability to work independently and manage priorities effectively
  • Strong written and verbal communication skills
  • Reliable, organized, and self-motivated professional
Preferred Qualifications
  • CPC (Certified Professional Coder) certification
  • Medical coding or healthcare documentation review experience
  • Prior quality assurance, utilization review, peer review, case management, or clinical compliance experience
  • Knowledge of ERISA, regulatory compliance, and healthcare quality standards

Key Skills
  • Clinical Quality Assurance
  • Medical Record Review
  • Healthcare Compliance
  • CPC Coding
  • Clinical Documentation Review
  • Quality Improvement
  • Regulatory Compliance
  • Utilization Review
  • Case Review
  • Medical Terminology
  • Attention to Detail
  • Independent Decision-Making

Why Join Us?

âś… Utilize your nursing expertise in a non-bedside role

âś… Work with a collaborative and mission-driven healthcare team

âś… Gain exposure to quality assurance and clinical compliance processes

âś… Build valuable experience in peer review and healthcare quality management

âś… Opportunity for professional growth and development

Experience Level: Entry-Level to Early Career

Required License: Active RN or LPN License

Job Type & Location

This is a Contract to Hire position based out of Rockford, IL.

Pay and Benefits

The pay range for this position is $26.50 - $28.50/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Aug 28, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.


TEKsystems logo

About TEKsystems

Sourced by ZipRecruiter

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Hanover, MD, US