Senior Auditor, Nursing

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🔎 Auditor

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Ensemble Health Partners

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

💼 Consulting

🛡️ Insurance

📦 Logistics

💰 Private Equity Round on 2022-03

Consulting • Insurance • Logistics

Ensemble Health Partners is a leading provider of revenue cycle management (RCM) services for healthcare organizations. They offer an end-to-end RCM solution that helps hospitals, health systems, and affiliated physician groups optimize their revenue cycles, reduce denials and underpayments, and enhance patient experiences using a combination of expert management and advanced technology. Ensemble Health Partners leverages certified operators and AI to deliver consistent results, improve collections, and support future growth for healthcare providers. They are recognized for their robust client partnerships and commitment to delivering reliable revenue lift and cost savings for their clients.

📋 Description

• Lead audits of complex cases and high-risk claims • Review escalated audit findings and provide expert guidance • Mentor and train junior nursing auditors • Collaborate with compliance and revenue cycle leadership on audit strategies • Prepare comprehensive reports and present findings to senior management • Identify trends and recommend process improvements to reduce risk • Enhance revenue cycle performance by identifying systemic issues and recommending improvements • Ensure compliance with clinical and financial standards

🎯 Requirements

• Must reside and be authorized to work within the United States • Applications generated from outside the United States will not be considered • Nursing auditing experience and clinical knowledge are required for the role • Ability to lead complex audits and high-risk claim reviews • Ability to review escalated audit findings and provide expert guidance • Ability to mentor and train junior nursing auditors • Ability to collaborate with compliance and revenue cycle leadership • Ability to prepare comprehensive reports and present findings to senior management • Ability to identify trends and recommend process improvements

🏖️ Benefits

• Comprehensive benefits package including healthcare, time off, retirement, and well-being programs • Professional certification relevant to the associate’s field • Tuition reimbursement • Quarterly and annual incentive programs for employees who go beyond expectations • Remote work arrangement