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Remote Rn Chart Auditor Jobs in Virginia (NOW HIRING)

Sentara

Prevention Nurse Specialist

Williamsburg, VA · Remote

This is a remote flexi-status position within day shift hours. This is not a work from home role and requires onsite participation across the region. Required Qualifications: Active Registered Nurse ...

Riverside Health System Non-Providers

$24.25 - $27.50/hr

... remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC ... Registered Health Information Administrator (RHIA) - The American Health Information Management ...

Riverside

$24.25 - $27.50/hr

... remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC ... Registered Health Information Administrator (RHIA) - The American Health Information Management ...

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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.

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 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.

What are the most commonly searched types of Rn Chart Auditor jobs in Virginia? The most popular types of Rn Chart Auditor jobs in Virginia are:
What are popular job titles related to Remote Rn Chart Auditor jobs in Virginia? For Remote Rn Chart Auditor jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Remote Rn Chart Auditor jobs in Virginia look for? The top searched job categories for Remote Rn Chart Auditor jobs in Virginia are:
What cities in Virginia are hiring for Remote Rn Chart Auditor jobs? Cities in Virginia 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 Virginia as of May 2026, with employment types broken down into 5% As Needed, 90% Full Time, and 5% Part Time. Highlights an 100% Remote job distribution.
Clinical Nurse Coding Auditor (Full-time, Remote)

Clinical Nurse Coding Auditor (Full-time, Remote)

Integrity Management Services, Inc.

Alexandria, VA • Remote

$29.25 - $33.25/hr

Other

Posted 16 days ago

Job description

Job Title: Clinical Nurse Auditor - Payment Integrity

Job Summary
We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers. You will conduct prepayment claims reviews, post-payment audits, and comprehensive provider record reviews to ensure accurate billing, compliance with payer regulations, and integrity in reimbursement practices. This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential.

How You Will Make an Impact

  • Investigations and Audits: Conduct in-depth medical reviews through prepayment claims review and post-payment auditing to identify potential over-utilization or fraudulent activities.
  • Tool and Policy Development: Assist in the creation of audit tools, policies, procedures, and educational materials to enhance audit effectiveness and maintain high standards in payment integrity.
  • Cross-Departmental Collaboration: Serve as a liaison with service operations and other departments to provide status updates on claims reviews and coordinate actions as needed.
  • Data Analysis and Trending: Analyze performance data to identify patterns and trends, collaborate with service operations to address process improvements, and recommend modifications to medical policy.
  • Fraud Detection Support: Support fraud investigators with medical review expertise to detect and address fraudulent activities.
  • Mentorship: Act as a resource and mentor to other nurse auditors, supporting their professional growth and development in audit practices.

Requirements

Qualifications

  • Education:
    • Minimum Associate's Degree in Nursing required;
  • Licensure & Certification:
    • Current, unrestricted Registered Nurse (RN) license in applicable state(s).
    • Certification in medical coding from AAPC or AHIMA (e.g., CPC, CIC, CDI, or equivalent) is highly preferred.
  • Experience:
    • Minimum 5 years of clinical nursing experience, preferably with exposure to hospital bill auditing or defense auditing.
    • Strong knowledge of provider manuals, reimbursement policies, and medical policy guidelines.
    • Prior experience with healthcare fraud investigation and auditing is highly preferred.
  • Skills:
    • Proficiency in CPT/HCPCS and ICD-10 coding, with a strong foundation in auditing, accounting, and control principles.
    • Analytical and problem-solving skills with a keen attention to detail.
    • Exceptional written and verbal communication skills for clear and effective reporting and provider engagement.
    • Strong proficiency in Microsoft Office and familiarity with audit tracking systems.

Preferred Traits

  • Meticulous, organized, and objective in analyzing claims and documentation.
  • Ethical and responsible, with a commitment to supporting the integrity of healthcare billing and reimbursement.
  • Able to work independently, stay current with rapidly changing healthcare regulations, and thrive in a fast-paced environment.

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