QUALITY NURSE AUDITOR

RCI Recruitment Solutions; Kerrville (TX); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

403(b) retirement plan

Medical, dental, and vision insurance

Tuition assistance

Paid vacations

Job summary

A non-profit healthcare facility in Texas is seeking an experienced Quality Nurse Auditor to develop and coordinate core measures and manage audit requests. This role involves reviewing medical records, ensuring accurate billing, and reporting findings to the CFO. Candidates must possess a Bachelor’s of Science in Nursing, an RN Texas license, and have at least 3 years of acute care experience. Competitive salary and benefits offered, including medical, dental, and tuition assistance.

Qualifications

• Must have an RN Texas license.
• Minimum 3 years’ experience in acute care.
• AcPHQ certification is preferred.

Responsibilities

• Develop, plan, and coordinate core measures.
• Manage audit requests from various departments.
• Review medical records for appropriate documentation.

Skills

Data management skills

Development of core measures

Understanding CNS guidelines

Education

Bachelor’s of Science in Nursing

Tools

Meditech

HC Analytics

Job description

Seeking Experienced Quality Nurse Auditor… Apply Today!

Our client is a non‑profit, community‑based, 126‑bed acute care facility. As an award‑winning healthcare facility, they’ve gained a strong reputation for delivering high‑quality services to Medicare patients. Their passionate and dedicated staff members continue to provide exceptional, compassionate, and patient‑centered healthcare. While working here, you can enjoy exceptional benefits in a caring, family‑oriented environment.

Quality Nurse Auditor

As their Quality Nurse Auditor, you will develop, plan, and coordinate core measures and manage audit requests from financial coordinators, administration, patient relations, nursing and other departments. You will review medical records for appropriate documentation, collect data, ensure accurate billing, make suggestions, and report findings to the CFO on all audits.

Qualifications

To qualify, you must have a Bachelor’s of Science in Nursing, an RN Texas license, and a minimum 3 years’ experience in acute care. AcPHQ certification is preferred and CMS, Qnet, Meditech, and HC Analytics experience is a plus. You should have strong data management skills and the ability to develop, plan, and coordinate core measures, understand CNS guidelines, and create medical staff presentations as well as attend charge nurse meetings.

Benefits

Our client provides a competitive salary and benefits package including a 403(b), medical, dental, vision, life insurance, flex spending, tuition assistance, paid vacations and more.

Enjoy a rewarding career at an award‑winning healthcare facility! For immediate consideration, send your resume to [e-mail] and/or contact (561) 277‑1216 today.

Our client is an Equal Opportunity Employer.