Remote Nurse Auditor (Insurance Claims)

Claim Auditing With a Human Touch—From Anywhere

You know what it feels like to be on the other side of a claim—a patient hoping for clarity, a provider navigating regulations. As a remote nurse auditor, your work shapes not just paperwork but peace of mind. Each day, you untangle complex documentation, spot what others miss, and translate those details into fair, actionable decisions. You’re not chasing checklists; you’re restoring trust, one audit at a time.

Why Your Expertise Matters

Ever seen a claim that doesn’t add up? Your instinct kicks in. Perhaps it’s a missing signature, a code that doesn’t match, or a care story that requires a closer examination. You know every audit can tip the scale toward fairness, making a genuine difference for families and providers. That’s what keeps you engaged—and that’s what makes this work so rewarding.

What You’ll Tackle

Turning Details Into Clarity

• Sift through records, claims, and billing like a detective, but always with the patient in mind.

• Highlight the small details—patterns in documentation or coding—that could lead to more significant compliance issues.

• Trust your nursing intuition: if something feels off, you dig deeper, protecting both care standards and cost fairness.

Bringing People Together

• Some days, it’s all heads-down analysis. Other days, you’re breaking down technical findings for claim adjusters or doctors who want the bottom line.

• You’re that person who can hop on a video call or drop a Slack message and suddenly, everyone “gets it.”

• When you share feedback, it’s clear, it’s actionable, and it never feels like criticism—just honest, helpful guidance.

Building Better From Home

• Remote doesn’t mean hands-off. You master the digital tools—secure audit platforms, EHRs, encrypted files—making the whole process safer and smoother.

• You keep your eyes open for ways to improve, perhaps suggesting a new workflow or sharing a resource with the team.

• Workshops, peer mentoring, how-to guides—you pitch in wherever you can to help others raise the bar.

What Sets You Apart

Your Background

• You’re an RN with real bedside stories and the ability to spot errors others gloss over.

• Claims, coding, compliance—they’re your bread and butter, and you make them approachable for anyone.

• When someone’s lost in technical jargon, you’re the translator.

Your Approach

• Deadlines pile up? You pause, focus, and ensure the details are correct.

• A policy update drops? You roll with it, figure it out, and help the team keep pace.

• New software? You don’t panic—you test, learn, and share shortcuts.

How Remote Really Works Here

Think daily focus time, but also spontaneous huddles when someone needs a sounding board. You might never meet your team in person, but you’ll know their voices and see their faces, often with a pet or a mug of coffee in the background. Everyone’s here to help, solve, and celebrate each win.

The Tools That Keep You Sharp

• EHR platforms like Epic or Cerner

• Cloud-based audit and workflow tools

• Secure chat (Slack, Teams) and encrypted email

• Always-learning team resources, updated as fast as healthcare changes

Pay & Possibilities

Your work shapes big decisions, so we don’t take your effort lightly. Annual salary is $68,617, with room to grow—whether that means taking on complex audits, piloting new systems, or helping lead training sessions. Here, career paths are as open as you are ambitious.

What Makes This Role Stand Out

This isn’t a factory line; it’s an opportunity to be a genuine advocate. When you notice a pattern or find a fix, you don’t just close the file—you help raise the bar for everyone. You’ll work across teams, influence best practices, and see the impact of your effort, claim after claim.

Ready to Bring Your Experience Home?

If you're looking for work that’s meaningful, flexible, and deeply human, let’s connect. Show us how you approach problems, communicate findings, and make sense of the mess. Bring your best self, and let’s build something better, together.