Average salary: $97,148 /yearly
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$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, TX1 day ago- 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, TX16 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
- ...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 - ...Motor Vehicle Accidents, and Out‑of‑State Medicaid claims as well as denials for all payer classes. Position Summary The Clinical Nurse Auditor is responsible for performing comprehensive clinical audits to ensure medical necessity, regulatory compliance, and payer...SuggestedRemote jobWork at office
$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 work- 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
Registered 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$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...SuggestedUCHealth
Peyton, CO1 day ago- 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
$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...SuggestedHourly pay- 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
- ...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...
$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
Denver, CO16 hours ago$81.85k - $155.09k
...-12 Position Title: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Job Description: Diagnosis... ...Requirements: Requires current, active, unrestricted Registered Nurse license in applicable state(s). Requires a minimum of 10 years of...Full timeTemporary workWork experience placementLocal area1 day per week- 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
$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- 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
- 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
- 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
$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$86.56k - $155.81k
Elevance Health is looking for a Diagnosis Related Group Clinical Validation Auditor-RN. In this virtual role, you will audit inpatient medical records to ensure accuracy in clinical documentation and DRG billing. The ideal candidate will possess a current RN license and...Remote jobFlexible hours$70k - $100k
...provider in Houston is seeking an experienced RN - Senior Clinical Auditor to focus on auditing operating room documentation, regulatory... ...initiatives. The position requires a Bachelor's degree in Nursing, a valid RN license in Texas, and significant clinical experience...Weekend work$70k - $100k
RN - Senior Clinical Auditor - Operating Room Memorial Hermann Health System invites applications for the RN - Senior Clinical Auditor... ...maintain accurate audit records. Qualifications Bachelor of Nursing required; Master of Business or Healthcare Administration preferred...Monday to Friday$48.77 - $81.51 per hour
A healthcare institution in Torrance is looking for an RN Auditor to ensure compliance with medical record documentation and regulatory... ...activities. Applicants should have an associate's degree in nursing as well as 5 years of relevant experience in case management or...Hourly payFull time- ...Revenue Protection Specialist to manage external audits and support compliance initiatives. This role requires a clinical background in nursing and strong knowledge of billing practices. The successful candidate will oversee audit responses, implement process improvements,...
- A prominent staffing organization is seeking a Nurse Auditor to conduct post-payment claims audits across multiple locations, including Portland. The ideal candidate will have extensive clinical expertise and qualifications, including an RN license and experience in skilled...
