Nurse Auditor, MCVI Administration, FT, 8:30A-5P

Baptist Health; Florida; On-site; USD 82,000 - 109,000; Full time

Job summary

Baptist Health is seeking a Nurse Auditor to join our revenue integrity team. This expert clinician will oversee and perform concurrent, pre-bill and retrospective audits of billed charges against medical records to identify missing revenue and ensure proper charging and documentation practices.

Eligible candidates have a minimum of 4 years of clinical experience, proficiency in procedural coding and billing audits, and strong analytical and communication skills.

Qualifications

• Bachelor's degree required.
• Minimum 4 years of clinical experience.
• Procedural coding, billing and audit experience required.
• Knowledge of laws and regulations for billing government payers is helpful.
• Strong analytical, organizational and interpersonal skills.

Responsibilities

• Oversees and performs concurrent, pre-bill and retrospective audits of billed charges against medical records.
• Identifies opportunities related to charging properly and determines root causes.
• Works with leadership to develop standard charging and documentation practices.
• Participates in annual departmental charge master review.
• Assists in training clinical staff on chargemaster changes.

Skills

Procedural coding

Billing audits

Communication skills

Attention to detail

Self-directed / organized

Education

Bachelor's degree

Job description

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors.

What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels our commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact – because when it comes to caring for people, we're all in.

Benefits

At Baptist Health, we're committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including:

• Career growth and development opportunities, with clear pathways and ongoing support
• Comprehensive health and wellness resources that go beyond traditional benefits
• A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
• Tuition reimbursement to support continued learning and advancement
• And so much more

Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day.

Description

The Nurse Auditor is an expert clinician in the related specialty practice that combines clinical practice with education and leadership. Oversees and performs the concurrent, pre-bill and assists with retrospective audits of billed charges against medical records to identify missing revenue. Identifies opportunities related to charging properly and determines the root cause. Works with leadership team to develop appropriate and standard charging and documentation practices. Participates in the annual departmental charge master review. Assist in the training of clinical staff on changes in the chargemaster. Estimated salary range for this position is $82118.40 - $109217.47 / year depending on experience.

Degrees:

• Bachelors.

Licenses & Certifications:

• Registered Nurse.

Additional Qualifications

• Minimum 3 years of clinical experience.
• Procedural coding, billing and audit experience required.
• Extensive knowledge of laws, regulations and rules applicable to billing government payers is helpful.
• Demonstrated ability to be self directed with excellent organization, analytical and interpersonal skills.
• Excellent oral and written communications skills.
• Strong attention to detail.
• National certification in related department specialty preferred.

Minimum Required Experience: 4 Years

EOE, including disability/vets