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Work From Home Rn Chart Auditor Jobs (NOW HIRING)

Non-skilled work in member's homes to prevent hospital readmission * Teaching and helping members ... Training and document done from home Registered Nurse (RN) Case Manager Job Requirements include ...

The Registered Nurse will primarily communicate with patients through phone triage to assess and ... Ability to work independently, as well as effectively with others * Excellent time management ...

Join our fully virtual, work-from-home team where you can earn an exceptional income while still cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...

Join our fully virtual, work-from-home team where you can earn an exceptional income while still cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...

WORK FROM HOME

Wichita, KS · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

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Springfield, MA · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

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Saint Paul, MN · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

Join our fully virtual, work-from-home team where you can earn an exceptional income while still cherishing every precious moment with your loved ones. With the freedom to set your own hours, you can ...

WORK FROM HOME

Cedar Rapids, IA · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

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High Point, NC · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

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Richmond, VA · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

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Sioux Falls, SD · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

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Bend, OR · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

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Hope Hull, AL · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

WORK FROM HOME

Anaheim, CA · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

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How much do work from home rn chart auditor jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for work from home rn chart auditor in the United States is $37.56, according to ZipRecruiter salary data. Most workers in this role earn between $27.16 and $43.99 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a work from home RN chart auditor?

To thrive as a Work From Home RN Chart Auditor, you need active RN licensure, strong clinical knowledge, experience in medical record review, and a keen attention to detail. Familiarity with electronic health record (EHR) systems, coding guidelines (such as ICD-10 and CPT), and possibly certifications like Certified Professional Medical Auditor (CPMA) are often required. Excellent communication, critical thinking, and time management skills make candidates stand out in this remote position. These capabilities are essential for accurately evaluating medical charts, ensuring compliance, and maintaining efficient work while collaborating virtually.

What is a work from home RN chart auditor?

A Work From Home RN Chart Auditor is a registered nurse who reviews medical records remotely to ensure accuracy, compliance, and proper documentation for billing and coding purposes. They analyze patient charts to verify adherence to healthcare regulations and insurance requirements. This role helps healthcare organizations maintain quality assurance and improve patient care while preventing errors or fraud. Strong attention to detail, coding knowledge, and clinical experience are essential for success in this position.

What are some common challenges faced by work from home RN chart auditors and how can they be overcome?

One common challenge for Work From Home RN Chart Auditors is maintaining focus and productivity in a remote setting, especially when handling large volumes of medical records that require close attention to detail. Additionally, communicating effectively with other healthcare professionals and teams can sometimes be more complex when working remotely. Successfully navigating these challenges often involves establishing a quiet, dedicated workspace, utilizing collaboration tools like secure messaging platforms, and setting regular check-ins with team members. Being well-versed in EHR systems and staying updated on coding or compliance changes also helps ensure accuracy and efficiency. Proactively engaging in professional development and remote team-building activities can further support job satisfaction and long-term growth.

More about Work From Home Rn Chart Auditor jobs

What cities are hiring for Work From Home Rn Chart Auditor jobs?

Cities with the most Work From Home Rn Chart Auditor job openings:

What states have the most Work From Home Rn Chart Auditor jobs?

States with the most job openings for Work From Home Rn Chart Auditor jobs include:

Infographic showing various Work From Home Rn Chart Auditor job openings in the United States as of August 2026, with employment types broken down into 77% Full Time, 15% Part Time, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $78,133 per year, or $37.6 per hour.

Clinical RN Chart Reviewer, (Remote) CIC or CCS certified

ProgenyHealth LLC

Remote

$90K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago


Job description

Job Type
Full-time
Description
Job Role
The Clinical RN Chart Reviewer will perform clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered. The Clinical RN Chart Reviewer will report to the Payment Assurance Senior Manager and support a culture and work environment that promotes and inspires an active, continuous improvement philosophy regarding products and services in line with our company mission. This role requires certified coding expertise and a strong understanding of DRG validation, medical necessity, and regulatory guidelines.
Requirements
Responsibilities will include:
  • Audits and analyzes neonatal intensive care unit (NICU) claims according to ICD-10 coding principles and clinical guidelines.
  • Analysis of claims data to optimize reimbursement by ensuring that the diagnosis codes, procedure codes, and supporting documentation accurately support the service rendered.
  • Ensures claims analysis complies with ethical coding standards, guidelines, and regulatory requirements.
  • Responsible for performing clinical reviews of medical records and other documentation to validate issues of claims coding accuracy, medical necessity, and the appropriateness of treatment settings and services delivered.
  • Utilize Clinical Review Tools and EMR Systems.
  • Research reimbursement regulations for claim payment compliance to support and validate audit findings.
  • Assist with the development of claims audit process documentation, including workflow diagrams, policies and procedures, and standard operating procedures.
  • Detect discrepancies in provider billing and recommend adjustments to ensure proper reimbursement.

Qualifications:
  • Registered Nurse required, preferable NICU
  • 2+ years with inpatient claims, required, preferably NICU and maternity
  • Inpatient Coding Certification required - CCS or CIC. If not currently certified, requirement to obtain CIC or CCS within 6 months of hire, applicant responsible for exam and associated fees*
  • Experience in nursing, inpatient coding and reimbursement guidelines, and specifically, has a solid understanding of the MS-DRG, AP-DRG and APR-DRG payment systems.
  • 2+ years of working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG with a broad knowledge of medical claims billing/payment systems, provider billing guidelines, payer reimbursement policies, medical necessity criteria and coding terminology.
  • Adherence to official coding guidelines, coding clinic determinations, and CMS and other regulatory compliance guidelines and mandates.
  • Requires expert coding knowledge - DRG, ICD-10, CPT, HCPCS codes.
  • Experience with appeals is strongly preferred.
  • Excellent communication skills, both oral and written.
  • Strong interpersonal skills that will support collaborative teamwork.
  • Proficient in Microsoft Office: Word and Excel; Access - highly preferred.
  • Ability to work independently and within a team.
  • Critical listening, thinking, decision making and problem solving.

Benefits
This position has a salary range of $90,000 - $110,000 annually based on relevant experience. Some of the benefits we offer our team are:
  • Paid Time Off
  • Paid Parental Leave
  • Medical, dental, vision benefits
  • 401K with company match
  • Short- and Long-Term Disability
  • Group Life Insurance
  • Tuition reimbursement
  • Professional development opportunities
  • Business Casual work environment
ProgenyHealth positively recruits people from diverse backgrounds, including individuals with disabilities - if you need an accommodation to interview, please contact us by email: careers@progenyhealth.com
Equal Opportunity Employer, including individuals with disabilities and veterans.
Salary Description
90,000 - 120,000