Remote Nurse Auditor Job Description

About the Role

Join a high-performing healthcare organization from the comfort of your home as a Remote Nurse Auditor. In this crucial role, you'll be responsible for ensuring clinical documentation, billing accuracy, and regulatory compliance across multiple healthcare operations. If you have a sharp eye for detail, a commitment to integrity, and a passion for improving healthcare outcomes, this is your opportunity to make a difference remotely.

The annual salary for this position is $90,319, offering a rewarding compensation for professionals who value both flexibility and responsibility.

Key Responsibilities

• Conduct detailed audits of medical records to validate coding, documentation, and billing accuracy.
• Review claims to ensure alignment with payer requirements, CMS regulations, and clinical guidelines.
• Collaborate with healthcare providers to correct discrepancies and educate them on compliance standards.
• Identify patterns in documentation errors and recommend actionable improvements.
• Prepare audit reports with data-driven insights and summarize findings for leadership review.
• Assist in internal investigations related to overpayments, underpayments, or potential fraud.
• Maintain compliance with HIPAA and all relevant audit protocols
• Track and report key audit metrics for continuous quality improvement

Work Environment

This position is 100% remote, providing you with the freedom to build your ideal workday in a secure, home-based setting. You’ll be part of a collaborative clinical review team, operating in a digitally optimized environment that values accuracy, consistency, and professionalism. With scheduled virtual check-ins, team-based problem-solving, and access to internal training tools, you’ll never feel disconnected from the mission.

Tools & Technology

To ensure seamless workflow, you’ll be working with:

• EMR platforms like Epic, Cerner, or Meditech
• Claims auditing software and reporting tools
• Secure file-sharing systems for HIPAA-compliant documentation
• Team collaboration tools such as Microsoft Teams or Zoom
• Cloud-based dashboards for real-time audit tracking and reporting

Qualifications

• Active, unrestricted RN license in the U.S.
• Minimum of 3 years clinical nursing experience, preferably in acute care or outpatient settings
• At least 2 years of experience in medical record auditing, utilization review, or case management
• Familiarity with ICD-10, CPT, HCPCS codes, and billing compliance standards
• Certification in medical auditing (e.g., CHCA, CPMA, or equivalent) strongly preferred
• Exceptional attention to detail and strong organizational skills
• Proficiency with audit documentation and written communication

Desired Competencies

• Ability to synthesize complex patient records into concise summaries
• Skilled in navigating payer policies and understanding reimbursement trends
• Strong ethical judgment and a high level of discretion
• Effective collaboration across virtual teams
• Calm under pressure, with the ability to meet audit deadlines consistently

Impact of the Role

As a Remote Nurse Auditor, your contributions will directly influence financial integrity, clinical compliance, and operational efficiency. By preventing billing errors and promoting evidence-based documentation, you'll help uphold the organization’s commitment to transparent, ethical, and value-driven care delivery.

Perks & Benefits

• Competitive annual salary of $90,319
• Fully remote work model with flexible hours
• Ongoing education and audit certification reimbursement
• Access to exclusive clinical audit training webinars
• Inclusive, team-oriented culture focused on continuous growth
• Paid time off and healthcare coverage options

Career Growth

This role opens the door to advanced opportunities in healthcare compliance, revenue cycle integrity, and clinical documentation improvement. We support career advancement through mentorship programs, skill-based projects, and regular performance check-ins.

Who You’ll Work With

You’ll be collaborating with:

• Clinical documentation improvement specialists
• Coding and billing professionals
• Healthcare compliance managers
• Physicians and nursing leadership

Each interaction will reinforce your impact in maintaining high standards of care and trust.

Ready to Join?

If you're driven by accountability, analytical thinking, and a desire to improve healthcare systems through ethical audits, we want you on our team.

Apply today and elevate your career from home.

Take ownership of your future — precision starts with you.