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Remote Rn Auditor Jobs in Tucson, AZ (NOW HIRING)

Bannerhealth

RN, Case Manager

Tucson, AZ · Remote

The RN, Case Manager will be onsite for training at Banner Corporate Mesa or Banner Corporate ... After completing training, it is a remote position with a work schedule of Monday - Friday 8am ...

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Remote Rn Auditor information

See Tucson, AZ salary details

$18

$31

$44

How much do remote rn auditor jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for remote rn auditor in Tucson, AZ is $31.25, according to ZipRecruiter salary data. Most workers in this role earn between $27.31 and $34.13 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
Infographic showing various Remote Rn Auditor job openings in Tucson, AZ as of August 2026, with employment types broken down into 3% As Needed, 53% Full Time, 15% Part Time, and 29% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $64,876 per year, or $31.2 per hour.

Telephonic Case Manager (RN) - Compact License - REMOTE!

Tucson, AZ • On-site, Remote

EK Health Services Inc
Health Care and Social Assistance • 51 - 200 employees
Learn more about EK Health Services Incexternal

$72K - $87K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

Job description

Job Type
Full-time
Description
EK Health is now hiring for a Full-Time Telephonic Nurse Case Manager (RN) for our Case Management Team! This role includes assessing, planning, implementing, coordinating, and evaluation of service options. The goal of the Case Manager is to assist the injured worker in receiving appropriate, cost-effective medical care for their injury in a timely manner, and to expedite their return to work.
Position Logistics: Monday - Friday, 8:30am -5:30pm local time, Full-time Remote.
NOTE: Requires a Compact RN license in good standing . Workers Compensation experience is preferred but not required.
Wage is based on experience, education, certifications and location (may be either hourly or salary based on individual state requirements). Will be required to obtain a CA RN license.
Benefits & Perks:
  • Base pay $35-42/hr ($72,800 - $87,360 annually). Wage is based on experience, education, certifications and location (may be either hourly or salary based on individual state requirements).
  • Medical, Dental and Vision Insurance
  • 401K
  • Paid Time Off
  • Paid holidays
  • Equipment is provided
  • Monthly internet stipend

Here's a snapshot of what you'll be doing (not all-inclusive):
  • Communicate with medical providers, employers and with injured workers
  • Perform a complete nursing evaluation to determine needs of patient
  • Review and evaluate all medical correspondence, provider reports, & treatment plan history
  • Evaluate clinical status of claimant and research for alternative options to treatment as warranted
  • Communicate with the claims examiners regarding directives, and provide updates on file status
  • Arranging transportation services when necessary and authorized
  • Evaluating therapy facilities and their progress on specific cases
  • Prepare comprehensive notes following any discussions had with injured worker, medical providers, claims examiners, and employers in the case file
  • Discuss the analyzed data and the comprehensive plan of care with the insurance representative prior to implementation
  • Upon authorization, implement this plan of care with patient, physician and health care providers
  • Arrange for care/services as needed (home care, procedures, medication, equipment or supplies)
  • Monitor the plan of care with modifications or changes suggested to the patient and physician as the need arises
  • Coordinate information between all parties (injured worker, physicians, employer, other providers, such as therapists, and attorney, if any is involved)

Requirements
  • Graduate of an accredited school of nursing
  • 3-5 years clinical experience as an RN outside of school
  • Valid Compact RN license in good standing with no restrictions
  • Valid state-appropriate RN license in good standing with no restrictions
  • Will be required to obtain CA RN License within 90 days (reimbursed)
  • Possesses and can demonstrate the professional and technical skills of a Registered Nurse
  • Experience in Case Management, Workers' Compensation experience preferred, but not required
  • Experience in Home Health Care, Occupational Health considered a plus
  • Excellent Written and Oral Communication Skills
  • Excellent Interpersonal & Organizational Skills
  • High comfort level with computers and computer programs (MS Word, MS Excel, Email)

Apply