Nurse Auditor

UASI; United States; A distancia; USD 85.000 - 110.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Insurance package

401(K) plan

Certification reimbursement

Training opportunities

Descripción de la vacante

UASI is seeking a detail-oriented Registered Nurse Auditor to support revenue integrity with a focus on charge audit and billing validation. You will review medical records and itemized bills to ensure charges are accurate, documented, and compliant with payer and regulatory requirements.

You will collaborate with coding and billing teams, analyze audit findings, and help prevent denials while improving charge capture.

Formación

• Active RN or LPN license.
• 5+ years of clinical nursing experience (ICU, ED, OR, or acute care preferred).
• Experience performing chart reviews and understanding documentation.
• Strong understanding of medical record documentation and hospital billing.

Responsabilidades

• Perform comprehensive charge audits for inpatient and outpatient services.
• Review itemized bills against medical records for accuracy and completeness.
• Identify missing, duplicate, or non-compliant charges.
• Submit audit findings to revenue cycle teams for correction and rebilling.

Conocimientos

Analytical thinking

Attention to detail

Independent work

Written communication

Verbal communication

Findings interpretation

Educación

Registered Nurse license

Herramientas

Epic

Cerner

Meditech

Audit tools

Descripción del empleo

We are seeking a detail-oriented Registered Nurse (RN) Auditor to support revenue integrity efforts with a focus on charge audit and billing validation. In this role, you will review medical records and itemized bills to ensure charges are accurate, properly documented, and compliant with payer and regulatory requirements. Your work will help reduce financial risk, prevent denials, and strengthen accurate, defensible billing practices while supporting overall revenue and compliance goals.

Key Responsibilities

Charge Audit & Billing Validation (Primary Focus)

• Perform comprehensive charge audits for inpatient and outpatient services.
• Review itemized billing statements against medical records to verify accuracy and completeness.
• Identify and document:
• Missing charges
• Duplicate charges
• Unsupported or non-compliant charges
• Validate charges based on clinical documentation, coding rules, and billing guidelines.
• Ensure all billing aligns with:
• CMS and payer requirements
• National healthcare billing audit guidelines
• Organizational compliance standards
• Submit clear, actionable audit findings to revenue cycle teams for correction and rebilling.

Audit Analysis & Documentation

• Analyze audit findings to determine root causes and patterns.
• Maintain accurate audit documentation that is clear, traceable, and defensible.
• Track audit outcomes and financial impact.
• Assist in developing recommendations to improve charge capture accuracy and billing processes.
• Partner with:
• Coding and billing teams
• Revenue cycle leadership
• Documentation requirements
• Billing compliance standards
• Support education efforts to prevent recurring audit issues.

Required Qualifications

• Active Registered Nurse (RN) license or LPN license
• 5+ years of clinical nursing experience (ICU, ED, OR, or acute care preferred)
• Experience performing:
• Chart reviews
• Strong understanding of: Medical record documentation & Hospital billing processes

Technical Knowledge & Skills

• Knowledge of:
• CPT, HCPCS, ICD-10 coding basics
• Revenue codes and charge capture processes
• Inpatient and outpatient billing rules
• Familiarity with:
• Medicare, Medicaid, and commercial payer billing guidelines
• CMS regulations and compliance expectations
• Ability to:
• Interpret itemized bills, clinical documentation, and diagnostic reports
• Identify discrepancies and determine correct billing practices
• Experience using:
• EHR systems (Epic, Cerner, Meditech)
• Audit or billing tools/data systems

Core Competencies

• Strong analytical and critical thinking skills
• High attention to detail and accuracy
• Ability to work independently and manage priorities
• Clear and professional written and verbal communication
• Ability to translate complex findings into actionable insights

Preferred Experience

• Prior experience in:
• Revenue integrity or healthcare auditing
• Denials or utilization review
• Familiarity with:
• DRG concepts (MS-DRG or APR-DRG)
• Audit or compliance programs
• Experience educating staff or supporting process improvements

About UASI

UASI is the employer of choice due to our outstanding reputation for excellence within the industry and for our comprehensive benefit package which includes:

• Medical, dental, vision and life insurance, short/long-term disability, 401(K) and referral bonuses
• Training opportunities and reimbursement for professional certifications
• UASI's unique approach to employee appreciation which include: birthday recognition, holiday gift selections, performance awards, and years of service awards

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in UASI's Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.