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Remote Rn Auditor Jobs in Troy, MI (NOW HIRING)

Centene

Senior Care Manager (RN)

Macomb, MI · On-site +1

$75K - $135K/yr

License/Certification: * RN - Registered Nurse - State Licensure and/or Compact State Licensure ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

Senior Care Manager (RN)

Detroit, MI · On-site +1

$75K - $135K/yr

License/Certification: * RN - Registered Nurse - State Licensure and/or Compact State Licensure ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

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All JobsRn Auditor JobsRemote Rn Auditor JobsRemote Rn Auditor Jobs in Troy, MI

Remote Rn Auditor information

See Troy, MI salary details

$18

$31

$44

How much do remote rn auditor jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for remote rn auditor in Troy, MI is $31.27, according to ZipRecruiter salary data. Most workers in this role earn between $27.36 and $34.18 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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What cities near Troy, MI are hiring for Remote Rn Auditor jobs? Cities near Troy, MI with the most Remote Rn Auditor job openings:
Remote Rn Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in Troy, MI as of June 2026, with employment types broken down into 1% Internship, 37% Full Time, 4% Part Time, 4% Temporary, 52% Contract, and 2% Nights. Highlights an 42% Physical, 2% Hybrid, and 56% Remote job distribution, with an average salary of $65,034 per year, or $31.3 per hour.

RN, telephonic Clinical Case Manager

Managed Medical Review Organization

Novi, MI • Remote

Full-time

Posted 11 days ago

Job description

About the Role
We are looking for an experienced RN Clinical Case Manager to support a disability claim review program. In this role, you will guide members through a collaborative case management process built on assessment, planning, care coordination, and ongoing evaluation. Your work directly supports improvement in members' (patients) disabling and co-morbid conditions and helps maximize their employability. You will own your caseload from start to finish and be responsible for an efficient, timely, and complete case management process.


What You'll Do
•    Determine the appropriate case management track for each assigned case.
•    Conduct telephonic clinical assessments covering activities of daily living, psycho-social factors, recent hospitalizations, current clinical status, treatment plans and medications, treating physicians, special needs, and the appropriate outreach interval for each case.
•    Develop customized, member-specific clinical case management plans.
•    Perform ongoing periodic telephonic outreach at intervals set during the initial clinical assessment.
•    Request and track receipt of the records and documentation needed to identify ongoing case management needs.
•    Build and maintain a case management resource library to provide members with information relevant to their conditions.
•    Assess whether a review is needed for a member's return to their own occupation, and identify the appropriate physician specialty when it is.
•    Collaborate with vocational specialists during the case management process when needed.
•    Conduct thorough, ongoing quality review of all case documentation and ensure completeness and accuracy of case paperwork.
•    Communicate with members, physicians, employers, and clients as appropriate.
•    Enter case activities into the case management system accurately and within client-required timeframes.
•    Maintain compliance with applicable practice standards and guidelines, including strict confidentiality and HIPAA adherence.


What You'll Bring
•    Unrestricted RN licensure, without sanctions.
•    Current certification in case management or a related field, or the ability to qualify for certification testing within six months of hire.
•    Minimum of five years of clinical experience.
•    Minimum of five years of case management experience in one or more of the following: medical, workers' compensation, auto, or disability case management.
•    Working knowledge of diagnostic coding (ICD-10).
•    Strong critical thinking, decision-making, and organizational skills with close attention to detail.
•    Ability to meet deadlines and turnaround times consistently.
•    Ability to work independently as well as within a team.
•    Computer literacy, including solid working knowledge of Microsoft Word and Excel.
•    Strong written, verbal, and telephonic communication skills, with the ability to manage multiple priorities.
•    Bachelor's degree in nursing or a health-related field.
•    Working knowledge of the insurance industry, medical claims, and/or disability claims.
•    Experience with Lean production management.


Work Environment
You will be working in an approved remote environment within the states of: Michigan, Illinois, Florida, Texas, or  Minnesota. Stressful conditions may arise when the workload becomes more demanding than usual.