Average salary: $96,993 /yearly
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- This full time position will work Monday-Friday from 8:00am-5:00pm in the Operating Room. At Houston Methodist, the Nurse Auditor position is responsible auditing and reconciling patient charts (i.e. medical record) on a daily basis or upon request from Payor's on-site...SuggestedPermanent employmentFull timeWork at officeMonday to Friday
Houston Methodist Willowbrook Hospital
Houston, TX3 hours ago - ...best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. The Revenue Cycle Clinical Nurse Auditor leverages clinical knowledge and documentation review to ensure appropriate charge capture and revenue optimization. Responsibilities...SuggestedLocal area
UMC Health System
Lubbock, TX4 days ago - ...experience in using billing and claims forms (UB, CMS, and HCFA). Normally to be proficient in the competencies listed above: •Nurse Auditor would have a/an Associate or Bachelor’s Degree in Nursing or related field and 5 years of hospital quality management, coding or...SuggestedWork at officeRemote work
- ...service to our affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented DRG Nurse Auditor with clinical case management experience to be responsible for analyzing clinical claim denials, drafting detailed appeal letters...SuggestedWork at officeLocal area
$116k
Houston Methodist Willowbrook Hospital seeks a detail-oriented Nurse Auditor to support quality, compliance, and accurate reimbursement across our healthcare services. In this role, you will review clinical documentation, coding, and billing—with emphasis on ICU and acute...SuggestedHouston Methodist Willowbrook Hospital
Houston, TX6 days ago- ...locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-...SuggestedWork experience placementWork at office
Harris Health System
Houston, TX4 days ago $67.1k
...Compensation Pay Range: Minimum Offer $67,100.80; Maximum Offer $102,460.80 Summary: Presbyterian is seeking a Hybrid Remote RN-Nurse Auditor for the HCC Program Management Department. This role will support the Hierarchical Condition Categories (HCC) processes for PMG...SuggestedFull timeRemote workShift workNight shiftWeekend workRegistered Nurse - Diagnosis Related Group (DRG) Coding Auditor Principal - Carelon Payment Int[...]
$113.77k - $215.57k
Registered Nurse - Diagnosis Related Group Coding Auditor Principal - Carelon Payment Integrity Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance...SuggestedDaily paidWork at officeLocal areaRemote work1 day per week- Trinity Health in Livonia is seeking a Nursing Support colleague to provide quality healthcare services under supervision. This full-time role involves performing clinical activities, maintaining patient records, and advocating for patients. Candidates should have at least...SuggestedRemote jobFull timeDay shift
- Compliance Auditor - Nurse (2604178) Description Job Purpose The Compliance Auditor (CA) reports directly to the Vice President of Compliance (VPC) to conduct compliance audits for Health Care Centers (HCC), Hospice, Home Health and/or SOURCE/CCSP service lines. The CA...SuggestedFlexible hoursShift work
- Employment Type Full time Shift Day Shift Description Work Remote Position (Pay Range: $31.8795-$47.8193) Purpose The Nursing Support (NS) colleague (uncertified, certified, unlicensed, or licensed) provides safe, quality health care services & / or assistance to patients...SuggestedRemote jobFull timeLocal areaShift workDay shift
- A health care organization is seeking a Compliance Auditor in Georgia. The position reports to the Vice President of Compliance and involves... ..., Hospice, Home Health, and related services. A Registered Nurse license is required, along with strong analytical and communication...Suggested
- A leading company seeks a Special Project Nurse/Medical Professional responsible for auditing and reviewing medical records to support quality improvement and HEDIS data collection. The ideal candidate will have RN/LPN credentials with extensive clinical and HEDIS experience...Suggested
- A leading healthcare provider is seeking a DRG Nurse Auditor in Richmond, Virginia. This role involves analyzing clinical claim denials, drafting detailed appeal letters, and performing DRG validation reviews. Candidates should possess an RN or LPN license, ideally with...Suggested
- Harris Health System, Inc. is seeking a Licensed Vocational Nurse in Texas for a hybrid telecommuter role. This position involves obtaining payer authorization for outpatient services and performing clinical reviews according to established guidelines. Candidates must have...Suggested
- ...healthcare organization in Norcross, Georgia, is seeking a Compliance Auditor to conduct internal compliance audits across various healthcare service lines. The ideal candidate must be a Registered Nurse with knowledge of federal regulations and possess strong analytical...
$25.01 - $41.25 per hour
A public university in the United States is seeking a Licensed Registered Nurse to perform assessments for elderly and physically disabled individuals. The role includes educating families and professionals on HCB services and requires travel within Boyd County and surrounding...Hourly pay$38.91 - $60.31 per hour
...minimal supervision. Must be able to work in a fast-paced environment and take appropriate action. Requirements: Registered Nurse Graduate of an accredited or state board of nursing approved Registered/Professional Nursing program if less than 3 years...Full timeTemporary workLocal areaRemote workFlexible hoursShift workUCHealth
Peyton, CO1 day ago$81.85k - $155.09k
Position Title Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Job Description Diagnosis Related... ...Requirements Requires current, active, unrestricted Registered Nurse license in applicable state(s). Requires a minimum of 10 years...Full timeTemporary workWork experience placementLocal area1 day per week$48.77 - $81.51 per hour
Under direct supervision of the Manager, RN Auditor, the RN Auditor is responsible for the review of medical record documentation for... ...Improvement (PI) activities. Education Degree: Associates Program: Nursing Experience Number of Years Experience: 5 Type of Experience:...Work at office- RN Clinical Denial Auditor Job Category: Nursing Schedule: Full time Shift: 1 - Day Shift Summary Responsible for reviewing and appealing clinical denials, tracking clinical denial trends, identifying continuous improvement opportunities. Responds to any compliance...Full timeShift workDay shift
$86.56k - $155.81k
Diagnosis Related Group Clinical Validation Auditor‑RN (CDI, MS‑DRG, AP‑DRG and APR‑DRG) Virtual: This role enables associates to work virtually... ...: Requires current, active, unrestricted Registered Nurse license in applicable state(s). Requires a minimum of 10 years...Full timeWork experience placementLocal area$29.05 - $56.64 per hour
...utilization management, care management, and/or managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and restricted in state of practice. • Strong attention to detail and organizational skills. •...Hourly payWork experience placementWork at officeMolina Healthcare
Farmington, NM3 days ago- ...discrepancies Work as a team member with the OR staff and managers; materials management staff and Hospital Auditor to ensure proper documentation Serve as a nursing resource for staff when issues/needs are of a clinical nature Review medical records and interpret...Full timeTemporary workWork experience placementWork at officeRemote work
$102,000 per week
UCHealth is seeking a Clinical Auditor RN to join our Quality Assurance and Compliance team. As a nonprofit health care system, UCHealth is committed to providing exemplary patient-centered care. This position plays a crucial role in ensuring that our clinical practices...UCHealth
Aurora, CO6 days ago- Job Description Department: Patient Fin. Services Shift: Day Working Hours: 8a-5p Summary: Responsible for the auditing of patient bills and medical record documentation to ensure accurate charging based on billing and coding guidelines. Will verify potential...Flexible hoursShift work
Baptist Health
Arkansas26 days ago - A healthcare organization in Texas is seeking a Charge Auditor Clinical who is a Registered Nurse. This role is vital for coordinating observation charges and ensuring compliance with billing standards. Responsibilities include reviewing surgical records, educating clinical...Full time
- A leading health company in Colorado is seeking a Diagnosis Related Group Clinical Validation Auditor-RN. The role involves auditing inpatient medical records, ensuring compliance with billing documentation, and utilizing advanced coding expertise. Candidates must hold...Remote jobFlexible hours
$80k - $90k
**ABOUT MACHINIFY:**In October 2025, Machinify acquired Performant and we are now part of the Machinify organization. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency...Remote workFlexible hours- A healthcare organization in San Antonio, Texas is seeking a Charge Auditor Clinical. This full-time position requires a Registered Nurse responsible for overseeing observation charges and ensuring compliance with documentation standards. Candidates should possess at least...Full time
