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Nurse Auditor

UASI
Location
Remote
Posted
12 days ago
Department
Denials Management Solutions
What they actually want (must-haves)
  • Active Registered Nurse (RN) license or LPN license
  • 5+ years of clinical nursing experience (ICU, ED, OR, or acute care preferred)
  • Experience performing charge audits
  • Experience performing chart reviews
  • Experience performing billing validation
  • Strong understanding of medical record documentation and hospital billing processes
Nice to have
  • Prior experience in revenue integrity or healthcare auditing
  • Prior experience in denials or utilization review
  • Familiarity with DRG concepts (MS-DRG or APR-DRG)
  • Familiarity with audit or compliance programs
  • Experience educating staff or supporting process improvements
What the job really is

The Nurse Auditor role involves reviewing medical records and itemized bills to ensure accuracy and compliance with billing practices. The auditor will perform charge audits, validate billing against clinical documentation, and collaborate with various teams to improve revenue integrity. Additionally, the position requires analyzing audit findings and providing recommendations to prevent future issues.

Benefits
  • Medical, dental, vision and life insurance
  • Short/long-term disability
  • 401(K)
  • Referral bonuses
  • Training opportunities and reimbursement for professional certifications
  • Birthday recognition
Things to weigh
  • Remote position may require self-discipline and independent work habits
  • Focus on compliance and auditing may not appeal to all nursing professionals
  • No salary listed in the posting
Job score3.8/5
Benefits5/5
Freshness5/5
Career value4/5
Role clarity5/5
Pay transparency0/5

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