Pool Registered Nurse Auditor, Revenue Integrity, Per Diem, Local Remote Sat/Sun

Baptist Health; Boca Raton (FL); Remote; USD 80,000 - 100,000; Full time

Job summary

Baptist Health is seeking a Nurse Auditor to join their team. This role combines clinical expertise with education and leadership, focusing on auditing billed charges against medical records to ensure accurate revenue capture. Candidates should have a Bachelor's degree, RN license, and a minimum of 3 years of clinical experience. The position offers a competitive hourly pay rate and the opportunity to make a significant impact in a leading healthcare organization.

Qualifications

• Registered Nurse (RN) license required.
• Minimum 3 years of clinical experience.
• Experience in procedural coding, billing, and auditing.

Responsibilities

• Oversees and performs concurrent, pre-bill, and retrospective audits.
• Identifies opportunities for proper charging and documentation.
• Assists in training clinical staff on chargemaster changes.

Skills

Analytical skills

Interpersonal skills

Attention to detail

Communication skills

Education

Bachelor's degree

Job description

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 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 25 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 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.

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 to develop appropriate and standard charging and documentation practices. Participates in the annual departmental charge master review. Assists in training clinical staff on changes in the chargemaster. Estimated pay range for this position is $34.85/hour depending on shift as applicable.

Qualifications:

Degrees:

• Bachelor's degree required.

Licenses & Certifications:

• Registered Nurse (RN).

Additional Qualifications:

• RNs hired after 2/2012 with an Associate's degree have 5 years to complete the BSN degree.
• 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 communication skills.
• Strong attention to detail.
• National certification in related department specialty preferred.

EOE, including disability/vets