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Audit Rn Jobs in New Jersey (NOW HIRING)

Swan Hospice

Hospice Qapi RN

Lakewood, NJ · On-site

$40 - $45/hr

RN Chart Auditor The duties of an RN chart auditor are to review medical records for accuracy ... Review and audit medical records: examine patient charts to ensure completeness, accuracy and ...

Springpoint Senior Living

Registered Nurse (RN)

Monroe Township, NJ · On-site

$43 - $48/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Oversees infection control policies and procedures and any audits of such for Springpoint at Home. Education and Experience: * High school Diploma or equivalent * Valid NJ RN License * CPR Certified ...

Vitability Health

Hospice RN

Howell, NJ · On-site

$150K/yr

Participate in survey readiness and regulatory audits * Collaborate with the Administrator and ... Active Registered Nurse (RN) license in NJ * Minimum 2-3 years hospice experience required * Prior ...

Vitability Health

Hospice RN

Howell, NJ · On-site

Participate in survey readiness and regulatory audits * Collaborate with the Administrator and ... Active Registered Nurse (RN) license in NJ * Minimum 2-3 years hospice experience required * Prior ...

Community Access Unlimited

Nurse-RN

Elizabeth, NJ · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Registered Nurse (Rn) Do you have a passion for nursing, but don't want to work in a hospital ... medical audits and assessments appropriately-Documents all member medical/health issues and ...

Careers Integrated Resources Inc

HEDIS RN/LPN

Newark, NJ · On-site

$31.50 - $41.75/hr

Must have prior experience working on a HEDIS audit * Must have an active RN or LPN license (any state). * Position is responsible for performing medical record reviews and data extraction for the ...

Springpoint Living

Registered Nurse (RN)

Monroe Township, NJ · On-site

$43 - $48/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Oversee infection control policies and procedures and any audits of such for Springpoint at Home. Education and Experience: * High school Diploma or equivalent * Valid NJ RN License * CPR Certified ...

US Tech Solutions

HEDIS RN - Quality Auditor

Newark, NJ · On-site

$40 - $42/hr

The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits, HEDIS ... Active New Jersey Registered Nurse (RN) License required. Skills: * Knowledge of managed care ...

Springpoint Living

Registered Nurse (RN)

Monroe, NJ · On-site

$43 - $48/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Oversee infection control policies and procedures and any audits of such for Springpoint at Home. Education and Experience: * High school Diploma or equivalent * Valid NJ RN License * CPR Certified ...

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Audit Rn information

What is the difference between Audit Rn vs Medical Auditor?

AspectAudit RnMedical Auditor
CredentialsRN license, auditing certificationsRN license, auditing certifications
Work EnvironmentHealthcare facilities, insurance companiesInsurance companies, healthcare organizations
Industry UsageHealthcare, insuranceInsurance, healthcare
Primary FocusReviewing medical records for compliance and accuracyEvaluating medical claims and documentation for reimbursement

Both Audit Rn and Medical Auditor roles require RN licensure and similar certifications. While Audit Rn focuses on reviewing medical records for compliance, Medical Auditors primarily evaluate medical claims and documentation for reimbursement purposes. They often work in similar environments within healthcare and insurance industries, but their specific responsibilities differ slightly, with Audit Rn emphasizing clinical record accuracy and Medical Auditors concentrating on claims processing.

What is an Audit RN?

An Audit RN is a Registered Nurse who specializes in reviewing medical records and healthcare documentation to ensure accuracy, compliance, and quality of care. They work with healthcare providers, insurance companies, or auditing firms to verify that billing and coding practices meet regulatory standards. Audit RNs also identify discrepancies, provide education to staff, and help implement improvements to clinical documentation or billing processes. Their role is crucial in preventing fraud, reducing errors, and optimizing reimbursement for healthcare organizations.

How does an Audit RN typically collaborate with other departments during an audit process?

An Audit RN works closely with departments such as billing, coding, quality assurance, and clinical teams to review medical records for accuracy and compliance. This role often involves clarifying documentation with providers, discussing findings with coders, and providing feedback to nursing staff on best practices. Effective communication and teamwork are crucial, as the Audit RN ensures that all parties understand audit results and any necessary corrective actions. This collaborative approach helps maintain high standards of patient care and regulatory compliance throughout the organization.

How to become an audit RN?

To become an audit RN, you need to first earn a nursing degree such as an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN), then obtain licensure as a registered nurse (RN). Gaining experience in healthcare, understanding auditing processes, and often pursuing certifications like the Certified Healthcare Auditor (CHA) can enhance qualifications for audit roles in healthcare settings.

What are the key skills and qualifications needed to thrive as an Audit RN?

To thrive as an Audit RN, you need a solid background in clinical nursing, knowledge of healthcare regulations, and experience with medical record review, typically supported by an RN license and clinical experience. Familiarity with coding systems (ICD-10, CPT), utilization review software, and electronic health records (EHRs) is commonly required. Attention to detail, analytical thinking, and effective communication are standout soft skills for this role. These competencies ensure accurate audits, regulatory compliance, and clear reporting that support organizational integrity and patient care quality.

What are popular job titles related to Audit Rn jobs in New Jersey?

For Audit Rn jobs in New Jersey, the most frequently searched job titles are:

What job categories do people searching Audit Rn jobs in New Jersey look for?

The top searched job categories for Audit Rn jobs in New Jersey are:

What cities in New Jersey are hiring for Audit Rn jobs?

Cities in New Jersey with the most Audit Rn job openings:

Audit Rn jobs near you
Infographic showing various Audit Rn job openings in New Jersey as of August 2026, with employment types broken down into 3% As Needed, 60% Full Time, 14% Part Time, and 23% Contract. Highlights an 99% Physical, and 1% Remote job distribution.

Clinical RN I - Pre/Post Pay Audit

Integrated Resources

Pennington, NJ • On-site

Other

Posted 11 days ago

Job description

Role: Clinical RN I - Pre/Post Pay Audit
Location: Remote (NJ, NY, PA, CT, DE)
Job Summary
Performs pre- and post-pay clinical audits to ensure documentation accuracy, authorization validation, and compliance with medical necessity criteria. Follows defined guidelines and escalates as needed.
Key Responsibilities
  • Conduct pre/post-pay audits using standard guidelines
  • Review claims, clinical documentation, and authorizations
  • Compare cases against MCG criteria
  • Document findings and update audit trackers
  • Identify gaps and escalate issues as required
  • Ensure compliance with audit standards and policies
Tools & Systems
  • Excel, ECM/DMS (ITS), Care Radius, MCG
  • Outlook / Teams
Requirements
  • Active RN license (unrestricted)
  • ASN or BSN
  • Experience in utilization review, clinical audits, or documentation review
  • Strong attention to detail and documentation accuracy
Preferred
  • Pre/post-pay audit experience
  • Familiarity with MCG criteria and audit systems
  • Experience with regulatory/state audits
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About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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