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Remote Rn Auditor Jobs in Towson, MD (NOW HIRING)

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the timely and smooth transition from inpatient care to home or other levels of care. Utilizing experience ...

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Remote Rn Auditor information

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$18

$31

$44

How much do remote rn auditor jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for remote rn auditor in Towson, MD is $31.60, according to ZipRecruiter salary data. Most workers in this role earn between $27.64 and $34.52 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).
More about Remote Rn Auditor jobs
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Remote Rn Auditor jobs near you
Clinical Guide: Cardiology Nurse

Clinical Guide: Cardiology Nurse

Devoted Health

Nottingham, MD • On-site, Remote

$80K - $100K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 days ago

Devoted Health rating

9.0

Company rating: 9.0 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

33rd of 281 rated insurance

Job description

Job Description
To ensure we can support our members in specific regions, this role requires you to be based in the Mountain (MT) or Pacific (PT) time zone AND hold an active multi-state Compact RN license.
Required skills and experience:
  • An unrestricted, compact RN license
  • A minimum of 4 years of RN experience with at least 2 years in a non-ICU cardiac focused setting, outpatient being ideal
  • A secure & private workspace with a strong & reliable internet connection.
  • Strong interpersonal and communication skills, your nursing care will be delivered verbally 100% of the time
  • Highly comfortable with technology (EMRs, messaging platforms, online portals, AI chat)
  • Ability to multi-task: you'll be listening, talking and typing all at the same time.
  • Team player mentality with a can-do attitude.
  • Comfortable with fast paced and evolving workflows, we will change and improve quickly.
  • Willingness to work 8-5 in Mountain Time zone or later time zone (MT, PCT)

A bit about this role:
The Cardiology Nurse, known as the Clinical Guide, is a vital part of Devoted Medical's Congestive Heart Failure (CHF) specialty clinic. This program is dedicated to enhancing the health of our members living with heart failure. The clinic delivers three concurrent interventions: 1) Health Coaching: Educating members to become proactive self-managers of their chronic condition. 2) Volume Optimization and Weight Monitoring: Closely tracking member weight for fluid management. 3) Medication Optimization: Initiating or intensifying Guideline Directed Medical Therapy (GDMT).
Clinical Guides manage a panel of enrolled members. They provide virtual guidance, primarily through phone and video visits, supporting members until they successfully "graduate" as competent self-managers. Throughout this journey, they collaborate with a multidisciplinary team, including cardiology-trained nurse practitioners, pharmacists, social workers, and care coordinators.
Looking ahead, we are developing a virtual Heart Center of Excellence, which will expand the role and responsibilities of the nurses within the heart failure clinic to support this significant new initiative.
Desired skills and experience:
  • Telehealth/remote experience strongly preferred
  • Bilingual in Spanish
  • Experience working in the Medicare Advantage landscape

Your Responsibilities and Impact will include:
  • Working with our members
    • Completing remote (telephonic/video) visits to conduct nursing assessments of heart failure, comorbid conditions, ED/hospitalization history, medications, psychosocial factors, and member values and preferences
    • Provide comprehensive clinical education tailored to individual needs (disease process, medications, symptom monitoring, lifestyle counseling, contingency planning).
    • Developing care plans in partnership with members and their caregivers - problems, SMART goals, interventions - while continuously evaluating the member's progress.
  • Working with and interdisciplinary team
    • Collaborating with an interdisciplinary team of registered nurses, advanced practice nurses, physicians, social workers, and pharmacists on shared members, to ensure we're working together to meet the needs of the members.
    • Collaborating closely with our PCP partners, as well as other clinical teams within Devoted Medical Group, to coordinate care and deliver evidence based, effective, and accessible health care.
    • Participating in weekly team huddles and patient rounds presentations
  • Improving how we work
    • Adapting to evolving workflows and care delivery models as we continue to grow and develop an emerging Heart Center or excellence
    • Providing feedback and potential solutions to help improve the operational processes, software tools, and clinical care.

Salary Range: $80,000-$100,000 / year
#LI-REMOTE
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
  • Employer sponsored health, dental and vision plan with low or no premium
  • Generous paid time off
  • $100 monthly mobile or internet stipend
  • Stock options for all employees
  • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
  • Parental leave program
  • 401K program
  • And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

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