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Remote Rn Auditor Jobs in Santa Rosa, CA (NOW HIRING)

Star Nursing, Inc.

Be Seen First

RN Assessment Case Manager

Sonoma, CA · Remote

$75/hr

Assessment RN / Case Manager Location ... Sonoma County Hybrid Position, Remote and on-site monthly visits Conduct initial and monthly ...

IQVIA

Flex Nurse Educator

Petaluma, CA · Remote

Deliver remote patient education, including medication administration training and adherence ... Active RN license in good standing (compact multi-state preferred); may be required to obtain ...

IQVIA

Flex Nurse Educator

Napa, CA · Remote

Deliver remote patient education, including medication administration training and adherence ... Active RN license in good standing (compact multi-state preferred); may be required to obtain ...

IQVIA

Flex Nurse Educator

Santa Rosa, CA · Remote

Deliver remote patient education, including medication administration training and adherence ... Active RN license in good standing (compact multi-state preferred); may be required to obtain ...

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Remote Rn Auditor information

See Santa Rosa, CA salary details

$21

$36

$50

How much do remote rn auditor jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for remote rn auditor in Santa Rosa, CA is $36.07, according to ZipRecruiter salary data. Most workers in this role earn between $31.54 and $39.42 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

Remote Nurse Navigator (Registered Nurse)

Bodega Bay, CA • Remote

Sato Inc
See more jobs at Sato Incexternal

$140K - $155K/yr

Full-time

Re-posted 28 days ago

Job description

About this role

We are looking for a Nurse Navigator with 5+ years of clinical experience to join a fast-growing, AI-native Centers of Excellence platform as an early team member. You'll coordinate end-to-end surgical episodes of care while helping build the clinical operating system at a company that's redefining how self-insured employers manage surgical spend.


What will you be doing?

  • Managing a caseload of surgical patients from inquiry through post-op recovery, coordinating with top U.S. and international providers

  • Gathering medical histories, obtaining records, and submitting referrals to specialist surgeons for consultation

  • Guiding patients through provider selection, scheduling, pre-op readiness, travel logistics, and post-op adherence

  • Tracking patient outcomes, surfacing issues early, and ensuring safe transitions of care

  • Contributing to AI-powered clinical workflows and processes as the company scales

Key Requirements

  • Active RN license (any state) with 5+ years of clinical experience, ideally including surgical settings (ortho, spine, bariatric, cardiac, general surge)

  • Remote work experience — must be comfortable and disciplined working from home 70% of the te

  • Based in the SF Bay Area (or as far as Sacramento) and able to come into the SF office 3-5 times per moh

  • Tech-savvy and excited about AI — not intimidated by rapidly evolving tools and process

  • Still passionate about patient care — not burnt out — while also comfortable with business metrics and direct feedback in a startup environment

  • 5 - 12 years of experience in clinical nursing, with surgical patient management experience

 
Salary
$130K - $140K (OTE: $140K - $155K) ($140K base salary + performance bonus. Compensation may vary based on experience level.)
 
Equity
Competitive equity