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

aptihealth

RN, Case Manager (NY | Remote)

Clifton Park, NY · Remote

$33.65 - $38.46/hr

The RN Case Manager ensures high-quality, patient-centered care while maintaining compliance with ... Remote / NY Pay Rate: $33.65- $38.46/hr About aptihealth aptihealth, inc. is a behavioral health ...

aptihealth

RN, Case Manager (NY | Remote)

Clifton Park, NY · Remote

$33.65 - $38.46/hr

The RN Case Manager ensures high-quality, patient-centered care while maintaining compliance with ... Remote / NY Pay Rate: $33.65- $38.46/hr About aptihealth aptihealth, inc. is a behavioral health ...

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

Remote Rn Auditor information

See Troy, NY salary details

$19

$32

$45

How much do remote rn auditor jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for remote rn auditor in Troy, NY is $32.44, according to ZipRecruiter salary data. Most workers in this role earn between $28.37 and $35.48 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.
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Remote Rn Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in Troy, NY 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 $67,478 per year, or $32.4 per hour.

RN, Case Manager (NY | Remote)

aptihealth

Clifton Park, NY • Remote

$33.65 - $38.46/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Job description

Life at aptihealth
aptihealth is a fast-growing health tech company transforming behavioral healthcare. Our digital platform and affiliated medical group make it easier for people to access high-quality care when and where they need it. You’ll join a mission-driven team that’s curious, collaborative, and passionate about improving lives through technology and care innovation. Here, ideas turn into action and learning happens every day. We’re proud to be named one of the world’s top health tech companies of 2025, recognized for advancing digital behavioral healthcare. Together, we’re building a better, more accessible future for mental health.

What We Offer

  • The chance to make life better for millions of people
  • Smart, supportive colleagues who care about what they do
  • A place where new ideas quickly turn into real results
  • A culture that values curiosity, collaboration, and inclusion
  • A team built on trust, accountability, and continuous learning


Your Role

The Registered Nurse Case Manager is a key member of AptiHealth’s Case Management and Medication Management programs, supporting both patients and providers across the care continuum. This role assesses patient needs, develops and implements care plans, coordinates care and medications, triages urgent patient concerns, and supports clinical operations in collaboration with the multidisciplinary care team. The RN Case Manager ensures high-quality, patient-centered care while maintaining compliance with company policies and regulatory requirements.

Responsibilities

  • Complete case management assessments and develop care plans
  • Collaborate with the care team to identify patient needs and coordinate care
  • Document all patient interactions and care coordination activities
  • Triage patient calls and electronic communications, escalating concerns as appropriate
  • Support prescribers with prior authorizations, refills, pharmacy coordination, and scheduling based on clinical need
  • Conduct medical reviews and gather additional patient history as needed
  • Obtain and manage required patient consents and releases of information
  • Educate and onboard patients into AptiHealth’s Medication Management Program
  • Assess patient response to treatment and medications
  • Connect patients with community resources and support services to address social determinants of health
  • Conduct proactive telephonic outreach to patients based on clinical needs

Requirements

  • Active Registered Nurse (RN) license in New York required
  • Graduate of an accredited nursing program; BSN preferred
  • Certified Case Manager (CCM) certification preferred
  • Behavioral health or psychiatric care experience strongly preferred
  • Experience supporting care coordination and case management workflows
  • Proficiency with Electronic Medical Record (EMR) systems and Microsoft Office applications
  • Strong organizational, communication, and clinical triage skills
  • Ability to work collaboratively within a multidisciplinary care team
  • Comfortable working in a fast-paced, patient-centered virtual care environment

Benefits

  • Comprehensive Medical, Dental, and Vision plans available
  • Paid Time off, Sick Time and Paid Company Holidays
  • 401k Retirement Savings Program with 2% Company matching
  • Voluntary Life Insurance
  • Employee Assistant Program (EAP)
  • Competitive Salary
  • Work from home

Job Type: Full-time / Hourly (40 hours / week)
Working Hours: Monday – Friday 8am – 4:30pm
Location: Remote / NY
Pay Rate: $33.65- $38.46/hr

About aptihealth
aptihealth, inc. is a behavioral health engagement company that seamlessly integrates physical and behavioral healthcare. Our platform connects medical providers, behavioral health specialists and patients with our proprietary assessment and treatment management protocols to get and keep patients healthier faster. aptihealth’s structured therapy programs are centered on its proprietary 15 Life Domain Clinical Framework© that efficiently provides collaborative care teams with the most thorough understanding of a patient’s behavioral health needs. For more information, please visit www.aptihealth.com

To all recruitment agencies: aptihealth does not accept agency resumes. Please do not forward resumes to us, our employees or any other organization location. aptihealth is not responsible for any fees related to unsolicited resumes.

aptihealth, inc. | 1785 Route 9, Clifton Park, NY 12065