Remote Nurse Auditor - Revenue Integrity & Compliance

LifeBridge Health; Owings Mills (MD); Remote; USD 83,000 - 131,000; Full time

Benefits offered by this job

Medical plan

Dental plan

Vision plan

401(k) retirement plan

Paid time off

Job summary

LifeBridge Health seeks a Nurse Auditor for the Regulatory Reimbursement and Reporting team. This role primarily supports a remote work environment while coordinating with HIM, CDI, Coding, PFS, Pharmacy, IT and clinical leadership to safeguard revenue and regulatory compliance.

Responsibilities include audits, education and data analysis to identify risks, and collaboration on initiatives to optimize reimbursement and audit readiness across inpatient and outpatient services.

Qualifications

• 1-3 years experience in Revenue Integrity, Clinical Auditing, Healthcare Compliance, CDI, HIM/Coding, Utilization Review, Case Management or Hospital Billing and Reimbursement.
• Nursing degree required with RN license in Maryland or eligibility.
• Licensure as RN with current Maryland license; CPR/BLS required.

Responsibilities

• Conduct clinical and revenue integrity audits to ensure accurate charge capture.
• Support regulatory oversight and ensure coding compliance across services.
• Assist CDM maintenance and provide education to departments.
• Analyze data and prepare reports to highlight compliance risks.
• Collaborate with multidisciplinary teams to improve charging practices.
• Write appeals with Recovery Audit Coordinators to protect revenue.

Skills

Revenue integrity

Clinical auditing

Regulatory compliance

Audit procedures

Education

Nursing Degree

Tools

CDM systems

HIM/CDI tools

Job description

LifeBridge Health seeks a Nurse Auditor for the Regulatory Reimbursement and Reporting team. This role primarily supports a remote work environment while coordinating with HIM, CDI, Coding, PFS, Pharmacy, IT and clinical leadership to safeguard revenue and regulatory compliance.

Responsibilities include audits, education and data analysis to identify risks, and collaboration on initiatives to optimize reimbursement and audit readiness across inpatient and outpatient services.