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

Flagstar Nursing

Travel Dietitian - Utica

Utica, NY · Remote

$59/hr

We streamline the process with quick interviews and efficient remote onboarding, so you can step ... Requirements: · Registered Dietitian (RD) credential and licensure in New York State. · Strong ...

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Remote Rn Auditor information

See Utica, NY salary details

$20

$33

$47

How much do remote rn auditor jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for remote rn auditor in Utica, NY is $33.70, according to ZipRecruiter salary data. Most workers in this role earn between $29.47 and $36.83 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
What are popular job titles related to Remote Rn Auditor jobs in Utica, NY? For Remote Rn Auditor jobs in Utica, NY, the most frequently searched job titles are:
What job categories do people searching Remote Rn Auditor jobs in Utica, NY look for? The top searched job categories for Remote Rn Auditor jobs in Utica, NY are:
What cities near Utica, NY are hiring for Remote Rn Auditor jobs? Cities near Utica, NY with the most Remote Rn Auditor job openings:
Remote Rn Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in Utica, NY as of July 2026, with employment types broken down into 2% Locum Tenens, 86% Full Time, 9% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 6% Hybrid, and 7% Remote job distribution, with an average salary of $70,101 per year, or $33.7 per hour.

Care Manager III - Hybrid Remote Schedule

CNY Health Home, Inc

Utica, NY • On-site, Remote

$25 - $27/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 27 days ago

Job description

Job Type
Full-time
Description
Job Title: Care Manager (Level 3)
Job Category: 9 - Service Worker
Department/Group: Care Management Agency
Location: All Locations
Travel Required: Yes
Level/Salary Range: Salary determined by experience and education.
Position Type: Full-Time, Non Exempt, 35 Hours a Week
Position Summary:
The Care Manager conducts and schedules assessments, referrals, advocacy and supports, counseling, education of patients and enrollees and care team members assuring the patient receives quality services to maintain optimum healthcare needs without barriers.
ROLE AND RESPONSIBILITIES:
Activities include but are not limited to the following:
  • Outreach and engagement to formally enroll referred individuals into the care management program.
  • Conduct assessments, evaluates needs, establishes and maintains care plan and maintains referrals for enrollees.
  • Assures supports are in place inclusive of peer and family contacts.
  • Develops Interim Plan of Care based on preliminary clinical information and assigned level that will identify linkages and services immediately required, based on information received from referral sources if applicable.
  • Ensures all initial linkages are established and maintained.
  • Collaborates with all service providers and establishes team communication plan.
  • Monitor goals on a continuing basis and that team is communicating.
  • Monitors that care plan is relevant to health home policies and procedures.
  • Consults with family members and social supports to maintain support consistency.
  • Advocates for additional services and linkages as appropriate.
  • Maintains current care management documentation and information regarding care management activities within the required health information technology (HIT) system.
  • Ensure compliance with all pertinent government and agency regulations and operating standards, including maintaining all required documentation and applicable databases.
  • All other duties as assigned.

Requirements
QUALIFICATIONS / EDUCATION / EXPERIENCE REQUIREMENTS
  • A Bachelor's degree in one of the following fields listed: a major or concentration in social work, psychology, nursing, rehabilitation, education, occupational therapy, physical therapy, recreational therapy, counseling, community mental health, child and family studies, sociology, speech and hearing or other related human services field; and two years of experience In providing direct services to people with Serious Mental Illness, Developmental Disabilities, or Substance Use Disorder; OR in linking individuals with Serious Mental Illness, Developmental Disabilities, or Substance Use Disorders to a broad range of services essential to successful living in a community setting (i.e. medical, psychiatric, social, educational, legal, housing and financial services); OR
  • A NYS teacher's certificate for which a bachelor's degree is required; OR NYS licensure and registration as a Registered Nurse and a bachelor's degree; OR A Bachelor's level education or higher in any field with five years of experience working directly with persons with behavioral health diagnoses; OR A Credentialed Alcoholism and Substance Abuse Counselor (CASAC); OR A Master's Degree in one of the qualifying education fields may be substituted for one year of experience.
  • Basic Computer Skills (Windows, Outlook, Word, Excel)
  • Travel is required. Must have a valid NYS Driver's License.
  • Competencies and experiences necessary include customer service orientation, diplomacy, diversity, flexibility, follow through, informing others, safety orientation, reliability and consistency, written communication and cooperation and teamwork, listening skill, optimism, quality orientation, analytical thinking.
  • Applies and actively shares knowledge, expertise and best practices with team
  • Behavior supports the mission, core values and objectives of the organization.
  • Displays flexibility and openness in daily work and encourages others to stay open to change and improvement.
  • Accepts and readily adapts to changing priorities, new ideas, strategies, procedures and methods.
  • Demonstrates and promotes respect toward coworkers and adapts behaviors to work effectively with varying people and situations.
  • Accumulates all relevant information prior to making job-related decisions.
  • Presents well-considered alternatives when making recommendations.
  • Makes decisions in a timely manner.
  • Represents the organization and its network of providers by displaying a respectful and caring manner with clients and their families.
  • Addresses all client concerns in a timely and efficient manner and reports any complaints to their immediate supervisor or the Director of Health Home Operations for resolution.
  • Complies with quality assurance, OSHA, HIPAA, infection control, safety and other policies set forth.
  • This position has the potential for regular and substantial contact with health home enrollees under age 21 and must satisfactorily pass a Criminal History Record Check (including fingerprinting), State Registered Clearance, Mandated Reporter Training, and Staff Exclusion List.

WORK ENVIRONMENT / HAZARDS
  • Job related tasks do not involve exposure or potential exposure to blood, body fluids, or tissue and Category I tasks are not a condition of employment. May have exposure to unpredictable individuals and situations when working at CNYHHN sites, its affiliates or the community.
  • OSHA Exposure Category III

PHYSICAL DEMANDS
  • Certain deadlines and unanticipated developments may require work during evenings, weekends.
  • Ability to quickly address any emergent issues without losing focus on task at hand.
  • The employee must have full sight and hearing with fluency in the English language. While performing the duties of this job, the employee is regularly required to talk or hear.
  • The employee frequently is required to stand, walk and sit. Must be able to sit for long periods of time.
  • Constantly operates a computer and other office productivity machinery, such as a copy machine, scanner, computer printer, etc.
  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising work-flow and efficiency.

Benefits:
Health Insurance
Voluntary Insurance Options
Paid Time Off
Paid Sick Leave
Dental Insurance
Vision Insurance
Pet Insurance
Life Insurance
Retirement Plan
Employee Assistance Program
Flexible Schedule
Flexible Spending Account
Other
WORK CONTACT GROUP
All staff, individuals at sites, visitors, family members, vendors, various county mental health services, various regulatory and professional agencies. There is daily contact with outside providers.
SUPERVISED BY: Program Manager / Project Manager
SUPERVISES:
  • None

Job Description Acknowledgement
I have received, reviewed and fully understand the job description for Care Manager (Level 3). I further understand that I am responsible for the satisfactory execution of the essential functions described therein, under any and all conditions as described.
Salary Description
$25.00 per hour - $27.00 per hour

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