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Remote Rn Auditor Jobs in Virginia Beach, VA (NOW HIRING)

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Remote Rn Auditor information

See Virginia Beach, VA 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 Virginia Beach, VA is $31.31, according to ZipRecruiter salary data. Most workers in this role earn between $27.36 and $34.23 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
What are popular job titles related to Remote Rn Auditor jobs in Virginia Beach, VA? For Remote Rn Auditor jobs in Virginia Beach, VA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Auditor jobs in Virginia Beach, VA look for? The top searched job categories for Remote Rn Auditor jobs in Virginia Beach, VA are:
What cities near Virginia Beach, VA are hiring for Remote Rn Auditor jobs? Cities near Virginia Beach, VA with the most Remote Rn Auditor job openings:
Remote Rn Auditor jobs near you
Infographic showing various Remote Rn Auditor job openings in Virginia Beach, VA as of July 2026, with employment types broken down into 2% As Needed, 58% Full Time, 14% Part Time, and 26% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $65,119 per year, or $31.3 per hour.

Sentara Health Plans is hiring for a Manager, Quality Performance and Outreach (CAHPS/ HOS/ Medicare

Sentara Healthcare

Norfolk, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 398 frontline employees who took The Breakroom Quiz

492nd of 887 rated healthcare providers

Job description

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Sentara Health Plans is hiring for a Manager, Quality Performance and Outreach (CAHPS/ HOS/ Medicare)- Remote!
Status: Full-time, permanent position (40 hours)
Standard working hours: 8am to 5pm EST, M-F.
Location: Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming
Overview
  • The Manager, Quality Performance and Outreach plays a critical role in driving strategic initiatives to improve STARS, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Performance Withold Program (PWP), and Healthcare Effectiveness Data and Information Set (HEDIS) performance across the health plan and enterprise.
  • The position will focus in Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey (HOS) for Medicare, and member rewards and data analysis for all lines of business
  • Reporting directly to the Director, Quality Performance and Outreach, this position leads cross-functional efforts to design, implement, and evaluate outreach and quality improvement programs that enhance member experience, close care gaps, and support regulatory compliance.
  • The position focuses on all lines of business, including Commercial, Medicaid, and Medicare, collaborating with other health plan departments, providers, vendors and the enterprise.
  • The position will manage a Team of 3 to 6 Direct Reports

Education
  • Bachelor's degree in Nursing, Clinical Sciences, Population Health, Healthcare Administration, Business Administration, or related field REQUIRED

Certification/Licenses
  • Registered Nurse License in Virginia OR Compact/Multi-state preferred

Experience
  • 3 years of experience with HEDIS, STARS, PWP, or Clinical Improvement REQUIRED
  • 3 years of supervisory or management experience REQUIRED
  • Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey (HOS) for Medicare
  • Prior experience in Project Management and Performance Improvement highly preferred
  • Strong project management and cross-functional collaboration skills REQUIRED
  • Ability to interpret clinical data and translate insights into actionable strategies REQUIRED
  • Experience working with vendors and managing outreach campaigns REQUIRED
  • Health Plan experience is preferred

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: 38.22/hour min - 63.70/hour max. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities."
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-103770
#Indeed
Talroo - Health Plan
Keywords: Health Plan, Healthcare, Health Insurance, MCO, Managed Care, Medicaid, Medicare, DSNP, Commercial, Group insurance, Remote, Virginia, VA, Quality, Performance, STARS, Consumer Assessment of Healthcare Providers and Systems, CAHPS, Performance Withold Program, PWP, and Healthcare Effectiveness Data and Information Set, HEDIS, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming, Health Outcomes Survey (HOS)
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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