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Remote Nurse Auditor jobs in the United States
Job type
Min. salary, $/year
Level
Healthcare organizations across the USA are expanding their compliance teams, fueling strong demand for remote nurse auditor jobs. With 500+ open positions available, now is an excellent time for experienced clinical professionals to pursue a flexible, high-impact auditing career. Accurate medical billing and regulatory compliance remain top priorities nationwide.
Successful nurse auditors combine clinical expertise with sharp analytical skills, ensuring medical records and billing codes align with regulatory standards. Employers typically seek candidates with a strong nursing background, familiarity with ICD-10 and CPT coding, and the ability to interpret healthcare policies clearly. Strong communication skills matter too, since auditors often collaborate with physicians and insurers to resolve discrepancies efficiently, a skill set highly valued across today's nurse auditor vacancies.
Remote work for auditors typically involves reviewing digital medical records and coordinating virtually with teams across different states. As telehealth and electronic health records expand, more employers hire a nurse auditor who can work independently from home. Flexible schedules are increasingly common, letting remote auditors maintain high accuracy without being tied to an office.
If you're ready to apply your clinical knowledge in a flexible, remote-friendly role, now is the time to explore nurse auditor positions. Global Work AI connects skilled professionals with healthcare employers seeking reliable, detail-oriented talent. Take the next step in your career and discover opportunities that match your expertise.
Children's Wisconsin
Conduct research on appropriate coding for various specialties, ensuring accuracy in coding practices. Develop educational materials based on research findings and maintain understanding of documentation policies.
remote, United StatesFull TimeMiddle (2-4 years)
Northwell
Validate Acute Inpatient coded charts to ensure diagnostic information aligns with medical records. Conduct coding audits for optimization and compliance with Federal and State regulations.
remote, NY, United StatesFull TimeJunior (<2 years)
Intermountain Health
Review medical records for HEDIS audits, abstracting relevant clinical information using a proprietary tool. Perform remote medical record reviews, ensuring compliance with HEDIS, CMS, and STARS measures.
remote, UT, United States$71k – $107k/yrPart TimeMiddle (2-4 years)
UnitedHealth Group
Coordinate the Recovery Audit Contractor (RAC) audit program, ensuring compliance with regulations. Collaborate with various departments to manage audit planning, scheduling, and reporting. Analyze audit findings to identify trends and implement process improvements.
remote, United States$60k – $107k/yrFull TimeMiddle (2-4 years)
Ascenti Physio
Lead clinical audits across service lines, ensuring compliance with quality assurance protocols. Evaluate patient experience metrics, treatment effectiveness, and clinical outcomes.
remote (anywhere)Full TimeLead / Manager
Yale New Haven Health
Educate providers and coding staff on CPT, ICD-10, and HCPC coding. Develop and maintain coding education programs, including training materials and curriculum. Conduct audits to assess risk and implement action plans based on findings.
remote, New Haven, CT, United StatesFull TimeSenior (5+ years)
Cook Children's Health Care System
Conduct coding quality reviews for inpatient and outpatient services, ensuring compliance with ICD-10-CM/PCS and CPT-4 guidelines. Develop and implement coding education and training programs based on audit findings and regulatory updates.
remote, TX, United StatesFull TimeLead / Manager
Gainwell Technologies LLC
Coordinate and perform appeal-related duties, including analyzing and responding to provider appeals. Review documentation to ensure all aspects of the appeal are addressed accurately. Prepare case files and summaries for hearings, and participate in virtual and on-site hearings.
remote, United States$69k – $99k/yrFull TimeSenior (5+ years)
ReviveRX and Ways2Well
Lead and manage a remote clinical support team of 15+ staff, ensuring exceptional patient service and operational excellence. Conduct performance reviews, coaching sessions, and maintain documentation. Support provider workflows and resolve patient concerns promptly.
remote, United States$110k/yrFull TimeJunior (<2 years)
WNS Global Services
Conduct quality assurance reviews of clinical activities, ensuring compliance with regulatory and accreditation standards. Perform internal and external quality audits, analyze trends, and recommend corrective actions.
remote, United States$80k – $90k/yrFull TimeSenior (5+ years)
EXL
Oversee clinical CVA auditors to ensure accuracy in DRG coding. Conduct quality reviews of clinical audits, mentor auditors, and recommend process improvements. Provide root cause analysis on errors and communicate findings to management.
remote, United States$60k – $99k/yrFull TimeLead / ManagerEXL
Deliver engaging training experiences for CVA coders, applying clinical and DRG expertise. Review clinical DRG audit outcomes to inform training and coaching efforts. Analyze audit trends to identify learning gaps and perform root cause analysis on audit errors.
remote, United States$75k – $107k/yrFull TimeSenior (5+ years)
Advantmed
Learn and apply HEDIS concepts based on Technical Specifications and client guidance. Complete training on HEDIS measures, including recorded demos and assessments. Provide knowledge transfer to abstractors during their training phase and live season.
remote, United States$50k – $60k/yrPart TimeJunior (<2 years)
WelbeHealth
Conduct internal and external audits to ensure compliance with regulatory standards. Evaluate operational practices and identify compliance gaps while recommending corrective actions. Stay updated on relevant laws and adjust audit tools accordingly to maintain current processes.
remote, CA, United States$90k/yrFull TimeJunior (<2 years)
Centene Corporation
Conduct audits and monitoring activities to ensure compliance with regulatory requirements. Collaborate with business owners and third parties to drive remediation efforts. Prepare reports on audit findings and evaluate corrective action plans.
remote, MO, United StatesFull TimeSenior (5+ years)
S1 Medical
Review medical bills to identify discrepancies with medical documentation and reimbursement standards. Validate medical charges using various pay data resources and collaborate with project managers to streamline auditing processes.
remote, United StatesFull TimeJunior (<2 years)
Cotiviti
Develop and deliver technical training for Clinical Chart Validation teams, including creating training materials and assessments. Mentor new team members and support audit accuracy through training.
remote, United States$107k – $119k/yrFull TimeSenior (5+ years)Intermountain Health
Conduct clinical charge audits of medical records for denials review and retrospective audits. Serve as a clinical resource for Revenue Cycle departments, ensuring compliance with laws and regulations.
remote, UT, United States$83k/yrFull TimeJunior (<2 years)
Revu Healthcare
Coordinate audit projects from handoff to final deliverables, ensuring documentation is complete and tracking any missing items. Conduct quality assurance reviews of consultant findings for coding accuracy and maintain project tracking.
remote, United StatesPart TimeSenior (5+ years)
Arizona Department of Administration
Oversee the Quality Assurance Nurse Investigations Unit, ensuring compliance with OIG standards. Conduct complex medical investigations, data analysis, and prepare Reports of Investigation. Negotiate overpayments and represent OIG in administrative appeals.
remote, AZ, United States$100k – $110k/yrFull TimeLead / Manager
Professional Credit Service
Review inpatient facility medical coding for accuracy and compliance, ensuring adherence to coding guidelines. Conduct quality assurance audits and provide feedback to coding staff.
remote, United States$81k – $91k/yrFull TimeLead / Manager
Elevance Health
Audit inpatient medical records to ensure clinical documentation supports billed conditions and DRGs. Analyze claims using ICD-10 coding principles and clinical guidelines. Utilize audit tools and workflow systems to generate audit determinations and findings.
remote, United StatesFull TimeSenior (5+ years)EXL
Conduct clinical reviews to verify skilled nursing facility billing accuracy. Apply CMS guidelines and payer-provider contracts to identify overpayments under PDPM and RUG methodologies. Validate diagnoses using ICD-10 coding on Minimum Data Set assessments.
remote, United States$60k – $99k/yrFull TimeMiddle (2-4 years)
Medica
Conduct medical record reviews and clinical quality audits to ensure compliance with quality standards. Collect and validate clinical documentation, prepare audit findings, and support quality programs through data abstraction.
remote, AR, United States$70k – $105k/yrFull TimeSenior (5+ years)EXL
Review inpatient medical records to validate DRG codes, applying clinical and coding knowledge to identify inaccuracies and potential overpayments. Document findings clearly and professionally, and utilize industry tools like 3M or Webstrat.
remote, United States$60k – $99k/yrFull TimeMiddle (2-4 years)EXL
Oversee clinical audits to ensure accuracy in DRG coding. Conduct quality reviews of inpatient medical records and mentor Clinical DRG auditors. Identify audit trends and provide root cause analysis on errors. Document audit findings and recommend process improvements.
remote, United States$85k – $100k/yrFull TimeLead / ManagerEXL
Conduct hospital charge audits on claims to verify appropriateness of charges against documentation. Identify overcharges, undercharges, and unbundled items according to payer guidelines. Manage scheduling of audits and maintain communication with the Audit Coordinator.
remote, United States$70k – $90k/yrFull TimeSenior (5+ years)Froedtert Health
Develop and conduct coding and billing training programs for a multi-specialty physician practice. Perform medical coding audits and generate detailed reports to address educational needs.
remote, WI, United States$48k – $78k/yrFull TimeMiddle (2-4 years)
Guidehealth
Conduct comprehensive clinical compliance audits, including utilization management and clinical reporting. Monitor adherence to regulatory requirements and internal policies.
remote, United States$82k – $87k/yrFull TimeLead / Manager
Wellstar Health System
Evaluate clinical documentation accuracy and quality, conducting audits and providing feedback to improve documentation practices. Collaborate with CDI team and providers to enhance clinical documentation integrity and ensure compliance with coding standards.
remote, United StatesFull TimeJunior (<2 years)
Machinify
Perform medical claims audit reviews for inpatient and outpatient services, applying medical review guidelines. Document findings and generate audit letters. Support findings during appeals and collaborate with the audit team to identify vulnerabilities.
remote, United StatesFull TimeSenior (5+ years)
CoventBridge Integrity Systems
Conduct clinical reviews of medical records for fraud investigations and program integrity initiatives. Analyze claims history and provider files to detect fraudulent billing practices.
remote, OH, United States$78k – $85k/yrFull TimeMiddle (2-4 years)
CorVel Corporation
Conduct hospital bill charge audits by reviewing medical records to verify services and charges. Identify discrepancies, document findings, and report issues to management. Schedule and perform audits onsite as needed, ensuring compliance with HIPAA and internal policies.
remote, Fort Worth, TX, United States$64k – $95k/yrFull TimeSenior (5+ years)
Molina Healthcare
Provide senior clinical support to the quality team, ensuring timely and accurate quality of care investigations. Conduct audits of medical records and monitor key quality activities involving clinical decision-making.
remote, United StatesFull TimeSenior (5+ years)
UT MD Anderson Cancer Center
Analyze patient accounts and denied claims to prepare appeals for third-party payers. Coordinate with clinical and financial teams to ensure accurate documentation and compliance in revenue practices.
remote, TX, United States$89k – $133k/yrFull TimeSenior (5+ years)Vira Health
Conduct patient consultations via telehealth, providing tailored care and prescribing FDA-approved treatments.
remote, United StatesPart TimeJunior (<2 years)Gainwell Technologies LLC
Perform clinical reviews of medical records to assess medical necessity and appropriateness of care. Document review decisions and rationale, determine approvals, and process consultant decisions.
remote, United States$78k – $88k/yrFull TimeSenior (5+ years)Machinify
Perform medical claims audit reviews for government clients, ensuring compliance with medical review guidelines. Document findings, generate audit letters, and support findings during appeals. Collaborate with the audit team to identify vulnerabilities and improve medical policies.
remote, United StatesFull TimeSenior (5+ years)
Piedmont Healthcare Inc.
Monitor and validate hospital coding information for patient types, providing education and training to coding staff on improvement areas. Serve as an educator for Clinical Documentation Improvement (CDI) staff regarding documentation, coding, and regulatory compliance.
remote, Atlanta, GA, United StatesFull TimeSenior (5+ years)EXL
Oversee clinical CVA auditors to ensure accuracy in DRG coding. Conduct quality reviews of clinical audits, mentor auditors, and recommend process improvements. Provide root cause analysis on errors and communicate findings to management.
remote, United States$85k – $110k/yrFull TimeLead / Manager10,000,000+ more jobs available!
