Nurse Auditor

Job not on LinkedIn

🕒 4 days ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 15%

What it means: the chance that no one is really hiring for this job.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.

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UASI

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1984

🏥 Healthcare

💼 Consulting

🤝 B2B

💰 $7M Debt on 2020-05

Healthcare • Consulting • B2B

UASI is a healthcare-focused revenue cycle consulting and services firm that helps hospitals and health systems optimize coding, clinical documentation improvement (CDI), denials and revenue integrity, quality and risk management, and AI adoption. With 40+ years of experience, UASI offers consulting, program design and implementation, assessments and audits, managed services and staffing, technology, and education and training. The company serves more than 1,250 hospital facilities and physician groups and employs 800+ nationally credentialed experts; it is KLAS-recognized and positions itself to find and fill gaps, fix processes, or run functions on behalf of clients (domestic, offshore, or both).

📋 Description

• Perform comprehensive charge audits for inpatient and outpatient services • Review itemized billing statements against medical records to verify accuracy and completeness • Identify and document missing, duplicate, unsupported, or non-compliant charges • Validate charges based on clinical documentation, coding rules, and billing guidelines • Ensure billing aligns with CMS and payer requirements, national healthcare billing audit guidelines, and organizational compliance standards • Submit clear, actionable audit findings to revenue cycle teams for correction and rebilling • Analyze audit findings to determine root causes and patterns • Maintain accurate, traceable, and defensible audit documentation • Track audit outcomes and financial impact • Assist in developing recommendations to improve charge capture accuracy and billing processes • Partner with coding and billing teams, clinical departments, and revenue cycle leadership • Provide guidance on documentation requirements, charge capture practices, and billing compliance standards • Support education efforts to prevent recurring audit issues

🎯 Requirements

• Active Registered Nurse (RN) license or LPN license • 5+ years of clinical nursing experience (ICU, ED, OR, or acute care preferred) • Experience performing charge audits, chart reviews, and billing validation • Strong understanding of medical record documentation and hospital billing processes • Knowledge of CPT, HCPCS, and ICD-10 coding basics • Knowledge of revenue codes and charge capture processes • Knowledge of inpatient and outpatient billing rules • Familiarity with Medicare, Medicaid, and commercial payer billing guidelines • Familiarity with CMS regulations and compliance expectations • Ability to interpret itemized bills, clinical documentation, and diagnostic reports • Ability to identify discrepancies and determine correct billing practices • Experience using EHR systems, including Epic, Cerner, or Meditech • Experience using audit or billing tools/data systems • Strong analytical and critical thinking skills • High attention to detail and accuracy • Ability to work independently and manage priorities • Clear and professional written and verbal communication • Ability to translate complex findings into actionable insights • Prior revenue integrity or healthcare auditing experience preferred • Denials or utilization review experience preferred • Familiarity with DRG concepts (MS-DRG or APR-DRG) preferred • Familiarity with audit or compliance programs preferred • Experience educating staff or supporting process improvements preferred

🏖️ Benefits

• Medical, dental, vision and life insurance • Short/long-term disability • 401(K) • Referral bonuses • Training opportunities • Reimbursement for professional certifications • Birthday recognition • Holiday gift selections • Performance awards • Years of service awards

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