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Remote Rn Chart Auditor Jobs in Towson, MD (NOW HIRING)

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the timely and smooth transition from inpatient care to home or other levels of care. Utilizing experience ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the timely and smooth transition from inpatient care to home or other levels of care. Utilizing experience ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) is responsible for utilization management and concurrent review of inpatient care to ensure members receive medically necessary services at the appropriate level of care.

Corvel

Telephonic Case Manager I

Nottingham, MD · Remote

$63K - $95K/yr

This is a remote role. This position requires a California RN Nursing License. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals through coordination with the ...

BetterHelp

Licensed Psychologist - Remote

Baltimore, MD · Remote

$55 - $70/hr

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

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Remote Rn Chart Auditor information

See Towson, MD salary details

$18

$31

$44

How much do remote rn chart auditor jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for remote rn chart auditor in Towson, MD is $31.60, according to ZipRecruiter salary data. Most workers in this role earn between $27.64 and $34.52 per hour, depending on experience, location, and employer.

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.

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 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.

What are popular job titles related to Remote Rn Chart Auditor jobs in Towson, MD?

For Remote Rn Chart Auditor jobs in Towson, MD, the most frequently searched job titles are:

What job categories do people searching Remote Rn Chart Auditor jobs in Towson, MD look for?

The top searched job categories for Remote Rn Chart Auditor jobs in Towson, MD are:

What cities near Towson, MD are hiring for Remote Rn Chart Auditor jobs?

Cities near Towson, MD 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 Towson, MD as of August 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 100% Remote job distribution, with an average salary of $65,735 per year, or $31.6 per hour.

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 12 days ago

Job description

Utilization Management Specialist (UM / Utilization Review Nurse) — Remote

Location: 100% Remote (U.S.) — Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension) Schedule: Mon–Fri, 8:00am–5:00pm ET (1-hour lunch) - Flex after ramp-up start time between 7:00am–9:00am ET Pay (W2): USD 51.00/H

Job overview

In this role, you’ll use your clinical background and utilization management experience to review requests for care and determine medical necessity, appropriateness, and benefit coverage. You’ll work fully remote and leverage MCG, medical policy, and regulatory guidelines while collaborating with Medical Directors and internal teams to support timely, accurate authorization decisions.

What you’ll do

  • Perform prospective, concurrent, and retrospective utilization reviews (medical + behavioral health).
  • Make medical necessity / appropriateness determinations and support prior authorizations.
  • Use clinical criteria and policy resources daily (including MCG / Milliman Care Guidelines).
  • Review clinical documentation, benefits, and mandates to ensure services align with coverage and guidelines.
  • Research diagnoses/treatments and high-cost services; summarize findings and escalate complex cases to Medical Directors as needed.
  • Collaborate with internal partners and providers to support benefit application and appropriate levels/settings of care.
  • Maintain accurate documentation and protect PHI while managing a busy caseload.

Required qualifications

  • Active RN or LPN license (RN preferred) — Maryland compact/eligibility required
  • 5+ years clinical nursing experience
  • 2+ years care management / utilization management experience
  • MCG experience (required)
  • Experience supporting Commercial/FEP/Medicare lines of business and applying medical policy/regulatory standards
  • Strong critical thinking, written communication, and ability to work independently in a remote setting
  • Comfortable with web-based tools + Microsoft Office (Word/Excel/PowerPoint)
  • Guiding Care and FACETS (required)

Nice to have

  • Critical Care or ER clinical background
  • Experience with LCD/NCD, Medicare guidelines, ASAM, or other authorization criteria sets

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-AJ1 Ref: #851-Rockville-S1

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About System One

Sourced by ZipRecruiter

System One helps employers get work done more efficiently and economically without compromising quality. Over our 35+ year history, we've helped connect thousands of talented people with innovative companies. The excitement of a perfect fit motivates us every single day.

Industry

Business consulting services and recruiting and staffing services

Company size

5,001 - 10,000 Employees

Headquarters location

Pittsburgh, PA, US

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