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Audit Nurse Jobs (NOW HIRING)

LTC PHARMA HLDG LLC

Internal Audit Manager

Fort Lauderdale, FL · On-site +1

$96K - $127K/yr

... nursing, public health, or a related field. * Minimum of five years of experience in internal audit ... compliance auditing, healthcare compliance, revenue cycle auditing, risk management, public ...

RSM

Audit Partner - Healthcare

Los Angeles, CA · On-site

RSM is currently seeking a strong Health Care Audit Partner with an entrepreneurial mindset for our ... nursing); gender; sexual orientation; HIV Status; national origin; ancestry; familial or marital ...

RSM Global

Audit Partner - Healthcare

Los Angeles, CA · On-site

RSM is currently seeking a strong Health Care Audit Partner with an entrepreneurial mindset for our ... nursing); gender; sexual orientation; HIV Status; national origin; ancestry; familial or marital ...

The Annex

Nurse Manager

Austin, TX · On-site

Maintain and audit nursing licensure, certification, and required training records (BLS/CPR, medication administration competency, etc.) to ensure continuous compliance. * Oversee infection control ...

Integrated Resources INC

IT AUDIT

Boston, MA

Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. CISA CERTIFICATION IS A PLUS Duration: 4 Mths Location: Boston MA 02895 Security Consulting Practitioner - IT AUDIT ...

RSM

Audit Partner - CP/TMT

Salt Lake City, UT · On-site

RSM has an exciting opportunity for an experienced Audit Partner to join our Consumer Products (CP ... nursing); gender; sexual orientation; HIV Status; national origin; ancestry; familial or marital ...

American Express

Manager - Audit, Finance SME

New York, NY

$110K - $146K/yr

About the Internal Audit Group at American Express Our Internal Audit Group is a worldwide function ... Free access to global on-site wellness centers staffed with nurses and doctors (depending on ...

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Audit Nurse information

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How much do audit nurse jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for audit nurse in the United States is $32.99, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $36.06 per hour, depending on experience, location, and employer.

What is an audit nurse?

Audit nurses are registered nurses who review medical records and healthcare documentation to ensure compliance with regulations, accuracy in billing, and quality of patient care. They analyze patient charts, identify discrepancies, and help healthcare organizations meet legal and financial standards. Audit nurses play a vital role in preventing errors, reducing fraud, and improving the overall quality of healthcare services.

What are the key skills and qualifications needed to thrive as an audit nurse?

To thrive as an Audit Nurse, you need a strong background in nursing, healthcare regulations, and medical record review, usually backed by RN licensure and clinical experience. Familiarity with electronic health records (EHRs), coding systems (like ICD-10 and CPT), and utilization review tools is essential. Attention to detail, analytical thinking, and effective communication set standout Audit Nurses apart. These skills ensure accurate audits, regulatory compliance, and improved healthcare quality and cost management.

What are some common challenges audit nurses face when reviewing medical records, and how can they overcome them?

Audit Nurses often encounter challenges such as incomplete documentation, inconsistent coding, and navigating complex electronic health record systems. To overcome these issues, it's important to stay updated on documentation standards and coding guidelines, maintain strong attention to detail, and communicate effectively with clinical staff to clarify discrepancies. Building collaborative relationships with healthcare teams and participating in ongoing training can also help Audit Nurses address these challenges efficiently.

What is the difference between Audit Nurse vs Clinical Nurse?

AspectAudit Nurse
CertificationsRegistered Nurse (RN), possibly with additional certifications in healthcare auditing or compliance
Work EnvironmentHealthcare facilities, insurance companies, or healthcare compliance organizations
Primary FocusReviewing medical records, ensuring compliance with regulations, auditing healthcare processes
Job ResponsibilitiesConducting audits, analyzing healthcare data, ensuring regulatory adherence

In contrast, a Clinical Nurse primarily provides direct patient care in hospitals or clinics. While both roles require RN certification, Audit Nurses focus on compliance and auditing tasks, often working behind the scenes, whereas Clinical Nurses are involved in hands-on patient care. Understanding these differences helps job seekers identify the right career path based on their skills and interests.

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Audit Nurse jobs near you
Infographic showing various Audit Nurse job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 53% Full Time, 16% Part Time, and 27% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $68,617 per year, or $33 per hour.

Internal Audit Manager

LTC PHARMA HLDG LLC

Fort Lauderdale, FL • On-site, Remote

$96K - $127K/yr

Full-time

Posted 17 days ago

Job description

WHO WE ARE
At Polaris Pharmacy Services, we're more than a pharmacy - we're a dedicated partner in care, transforming how patients experience long-term, post-acute, correctional, PACE, and specialty pharmacy services. As industry leaders, we're raising the bar for quality and coordination across all sites of care, ensuring every patient receives seamless, compassionate, and expert support.
Founded in 2015, Polaris is proud to be locally and independently owned, with a growing national footprint. Our team thrives in a mission-driven environment where innovation meets purpose, and every role contributes to making a real impact. We offer more than just a job - we provide competitive pay, robust benefits, and genuine opportunities for career advancement.
If you're passionate about shaping the future of pharmacy and making a difference in the lives of those who need it most, we invite you to grow with us.
Key Responsibilities
  • Develop and execute an annual risk-based internal audit and monitoring plan in coordination with the Senior Director of Compliance and relevant stakeholders.
  • Lead audits, reviews, and monitoring activities across healthcare compliance risk areas, including billing and coding, claims, documentation, privacy, conflicts of interest, vendor oversight, exclusion screening, licensure, credentialing, quality, and other operational compliance domains.
  • Evaluate the design and operating effectiveness of internal controls, policies, procedures, and business processes against applicable federal and state healthcare requirements, payer rules, accreditation standards, and company policies.
  • Prepare clear, accurate, and timely audit reports that summarize scope, methodology, findings, root causes, risk levels, recommendations, and management action plans.
  • Track corrective action plans through completion, validate remediation, and escalate overdue or high-risk items as appropriate.
  • Partner with Compliance leadership to maintain audit workpapers, evidence, risk assessments, dashboards, and reporting materials for executive leadership, committees, and regulatory inquiries.
  • Support compliance investigations, special reviews, and data analytics projects by gathering records, interviewing stakeholders, testing controls, and documenting findings.
  • Identify emerging compliance risks, trends, and control gaps, and recommend practical improvements to policies, training, processes, and systems.
  • Coordinate with operational leaders to provide audit education, feedback, and guidance that promotes a culture of accountability, transparency, and continuous improvement.
  • Supervise, coach, and develop internal audit staff or project resources, including assigning work, reviewing workpapers, providing feedback, and supporting professional development.
  • Maintain current knowledge of healthcare laws, regulations, enforcement trends, OIG guidance, CMS requirements, HIPAA, state requirements, payer expectations, and internal audit standards.
  • Perform other compliance, audit, monitoring, and risk management duties as assigned.

Required Qualifications
  • Bachelor's degree in accounting, finance, business administration, healthcare administration, health information management, nursing, public health, or a related field.
  • Minimum of five years of experience in internal audit, compliance auditing, healthcare compliance, revenue cycle auditing, risk management, public accounting, or a related control function.
  • Experience planning and executing audits, documenting workpapers, testing controls, identifying root causes, and presenting findings to management.
  • Working knowledge of healthcare regulatory and compliance requirements, such as HIPAA, CMS rules, federal healthcare program requirements, Anti-Kickback Statute, False Claims Act, Stark Law, OIG guidance, payer requirements, and applicable state laws.
  • Demonstrated ability to manage multiple audits or projects simultaneously, prioritize risk, meet deadlines, and maintain confidentiality.
  • Strong written and verbal communication skills, including the ability to communicate findings clearly to both technical and non-technical audiences.
  • Proficiency with Microsoft Office applications and experience using data analysis, audit management, compliance management, or governance/risk/compliance tools.
Preferred Qualifications
  • Professional certification such as CIA, CPA, CISA, CHC, CHPC, CHRC, RHIA, RHIT, CCS, CPC, or equivalent healthcare compliance, audit, privacy, or coding credential.
  • Experience in a healthcare provider, health system, payer, managed care, pharmacy, behavioral health, home health, hospice, or other regulated healthcare environment.
  • Experience with data analytics, claims testing, billing and coding audits, privacy audits, or enterprise risk assessments.
  • Prior supervisory or people-management experience.

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