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Remote Rn Chart Auditor Jobs in Nebraska (NOW HIRING)

Harris

$10/hr

EXAMPLE: Chart Review 8 min Outreach Attempts: 6 min Actual Call:11 min Care Coordination:9 min ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

CommonSpirit Health

Care Transformation RN

Omaha, NE · Remote

$41.14 - $67.88/hr

Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Serve as a Virtual RN (VIC RN) for 50% of the role, providing direct patient care during ...

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Remote Rn Chart Auditor information

What are the key skills and qualifications needed to thrive as a remote RN chart auditor, and why are they important?

To thrive as a Remote RN Chart Auditor, you need a strong clinical background as a registered nurse, expertise in medical record review, and familiarity with healthcare regulations, typically requiring an active RN license. Proficiency with electronic health record (EHR) systems, audit tools, and sometimes certifications like Certified Documentation Improvement Practitioner (CDIP) or Certified Professional Medical Auditor (CPMA) are commonly expected. Attention to detail, critical thinking, and effective written communication are essential soft skills that set top performers apart. These skills ensure accurate chart audits, regulatory compliance, and clear reporting, which are crucial for healthcare quality and risk management.

What is the difference between Remote Rn Chart Auditor vs Remote Rn Coding Specialist?

AspectRemote Rn Chart AuditorRemote Rn Coding Specialist
CredentialsRN license, auditing certifications (e.g., CHAA)RN license, coding certifications (e.g., CPC, CCS)
Work EnvironmentHealthcare facilities, insurance companies, or independentHospitals, clinics, insurance companies, or consulting firms
Industry UsageFocuses on reviewing patient charts for accuracy and complianceFocuses on assigning medical codes for billing and documentation

Remote Rn Chart Auditors primarily review patient records for accuracy and compliance, requiring auditing certifications, while Remote Rn Coding Specialists focus on assigning appropriate medical codes, often holding coding certifications. Both roles require RN licensure and are integral to healthcare revenue cycle management, but they differ in daily tasks and certification emphasis.

How does a remote RN chart auditor typically collaborate with healthcare teams while working offsite?

Remote RN Chart Auditors frequently interact with healthcare professionals such as physicians, nurses, and coding specialists through secure digital platforms, email, and virtual meetings. Although they work remotely, timely communication is crucial for clarifying documentation, addressing compliance issues, and sharing audit findings. Effective auditors build strong virtual relationships and are proactive in reaching out when discrepancies are found. This collaborative approach ensures that patient records are accurate and compliant with regulations, while also supporting continuous quality improvement within the organization.

What is a remote RN chart auditor?

A Remote RN Chart Auditor is a registered nurse who reviews and evaluates medical records and charts from a remote location to ensure accuracy, compliance, and quality of documentation. Their main responsibilities include verifying that healthcare providers follow regulatory guidelines, coding standards, and organizational protocols. They may also identify discrepancies, recommend improvements, and support staff education. This role is essential in maintaining high standards in patient care documentation and can help reduce errors or risks for healthcare providers. Working remotely, these professionals use secure technology to access records and collaborate with healthcare teams.
What are popular job titles related to Remote Rn Chart Auditor jobs in Nebraska? For Remote Rn Chart Auditor jobs in Nebraska, the most frequently searched job titles are:
What job categories do people searching Remote Rn Chart Auditor jobs in Nebraska look for? The top searched job categories for Remote Rn Chart Auditor jobs in Nebraska are:
What cities in Nebraska are hiring for Remote Rn Chart Auditor jobs? Cities in Nebraska with the most Remote Rn Chart Auditor job openings:
Remote Rn Chart Auditor jobs near you
Infographic showing various Remote Rn Chart Auditor job openings in Nebraska as of July 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% Remote job distribution.

Auditor, Healthcare Services (RN) (Remote) Must Live In Nebraska

Molina Healthcare

Omaha, NE • Remote

Full-time

Re-posted 25 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 197 frontline employees who took The Breakroom Quiz

162nd of 301 rated insurance

Job description

JOB DESCRIPTION 

This position will offer remote work flexibility, but the selected candidate must reside in Michigan. 

Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid Team as a Clinical Auditor.  The person filling this role will be an instrumental part of the team work to align the Medicaid Team compliance guidelines with those followed by our corporate teams.  Knowledge and experience working with NCQA standards is vital to success in this role. 

The preferred candidate will have 3 - 5 years of experience in a MCO and at least 2 years of clinical auditing and/or review experience. Mastery of Microsoft Office, especially Excel, PowerPoint will also be skill sets we are seeking.  Licensure should be an LPC, RN, LLMSW, LMSW, LBSW.

Hours are Monday - Friday, 8AM - 5PM in your time zone. 

Job Summary

Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care. 
 

Essential Job Duties


Performs audits in care management, member assessment, behavioral health, and/or other clinical teams, and monitors clinical staff for compliance with National Committee for Quality Assurance, Centers for Medicare and Medicaid Services (CMS), and state/federal guidelines and requirements. May also perform non-clinical system and process audits as needed. 
Audits for clinical gaps in care from a medical and/or behavioral health perspective to ensure member needs are being met. 
Assesses clinical staff regarding appropriate clinical decision-making. 
Reports monthly outcomes, identifies areas of re-training for staff, and communicates findings to leadership. 
Ensures auditing approaches follow a Molina standard in approach and tool use. 
Maintains member/provider confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA), and professionalism in all communications. 
Adheres to departmental standards, policies and protocols. 
Maintains detailed records of auditing results. 
Assists healthcare services training team with developing training materials or job aids as needed to address findings in audit results. 
Meets minimum production standards related to clinical auditing. 
May conduct staff trainings as needed.  Communicates with quality and/or healthcare services leadership regarding issues identified and works collaboratively to subsequently resolve/correct. 

Required Qualifications


At least 2 years health care experience, with at least 1 year experience in care management, and/or managed care, or equivalent combination of relevant education and experience. 
Registered Nurse (RN). License must be active and restricted in state of practice. 
Strong attention to detail and organizational skills. 
Strong analytical and problem-solving skills. 
Ability to work in a cross-functional, professional environment. 
Ability to work on a team and independently. 
Excellent verbal and written communication skills. 
Microsoft Office suite/applicable software program(s) proficiency. 

Preferred Qualifications


Care management, behavioral health and/or long-term services and supports (LTSS) clinical review/auditing experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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About Molina Healthcare

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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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