Remote RN Compliance Auditor - Healthcare Risk & Coding

Baptist Health System, Inc.; United States; Remote; USD 70,000 - 100,000; Full time

Job summary

Baptist Health System, Inc. is seeking a Compliance Auditor (RN) to support compliance, clinical, and revenue-focused auditing activities across hospital service lines.

The role partners closely with operational and clinical leadership to evaluate documentation, coding accuracy, regulatory compliance, and internal controls while identifying process improvement opportunities and mitigating organizational risk.

Qualifications

• Bachelor's degree required.
• Active RN license required.
• 5+ years of clinical nursing experience.
• 5+ years of healthcare experience.
• Experience with audits, compliance reviews, or related activities preferred.
• Experience with medical coding, DRG validation, CDI, utilization review, or revenue cycle operations preferred.
• Strong knowledge of healthcare compliance and auditing principles.

Responsibilities

• Conduct compliance, clinical, and revenue audits across hospital service lines and new locations.
• Review documentation, charges, and coding for accuracy and regulatory compliance.
• Audit facility coding and DRG assignments to identify concerns.
• Analyze findings to identify control gaps and process improvements.
• Perform root cause analysis and recommend corrective actions.
• Collaborate with leadership to develop and monitor corrective action plans.
• Prepare audit reports and communicate findings to stakeholders.
• Verify effectiveness of corrective actions and ongoing compliance initiatives.

Skills

RN license

Auditing

Regulatory knowledge

Analytical skills

Report writing

Education

Bachelor's degree

Tools

Epic

Job description

Baptist Health System, Inc. is seeking a Compliance Auditor (RN) to support compliance, clinical, and revenue-focused auditing activities across hospital service lines.

The role partners closely with operational and clinical leadership to evaluate documentation, coding accuracy, regulatory compliance, and internal controls while identifying process improvement opportunities and mitigating organizational risk.