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Audit Rn Jobs in New Jersey (NOW HIRING)

CareOne

MDS Specialist RN

Whippany, NJ · On-site

$83K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Strategically schedule ARDs and audit clinical documentation to capture true resident acuity ... Licensure: Current, unrestricted Registered Nurse (RN) license in the state of practice. * MDS ...

CareOne

MDS Specialist RN

Whippany, NJ

$83K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Strategically schedule ARDs and audit clinical documentation to capture true resident acuity ... Licensure: Current, unrestricted Registered Nurse (RN) license in the state of practice. * MDS ...

APluscare

RN

East Brunswick, NJ

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The RN will play a key role in monitoring client health needs, ensuring proper medication ... Oversee medication administration and audit medication administration records (MARs) to ensure ...

CareOne

MDS Specialist RN

Whippany, NJ · On-site

$83K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Strategically schedule ARDs and audit clinical documentation to capture true resident acuity ... Licensure: Current, unrestricted Registered Nurse (RN) license in the state of practice. * MDS ...

CareOne

MDS Specialist RN

Whippany, NJ

$83K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Strategically schedule ARDs and audit clinical documentation to capture true resident acuity ... Licensure: Current, unrestricted Registered Nurse (RN) license in the state of practice. * MDS ...

CareOne

MDS Specialist RN

Morristown, NJ · On-site

$83K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Strategically schedule Ards and audit clinical documentation to capture true resident acuity ... Licensure: Current, unrestricted Registered Nurse (Rn) license in the state of practice. * Mds ...

APluscare LLC

RN

East Brunswick, NJ · On-site

$40 - $50/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The RN will play a key role in monitoring client health needs, ensuring proper medication ... Oversee medication administration and audit medication administration records (MARs) to ensure ...

APluscare

RN

East Brunswick, NJ · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The RN will play a key role in monitoring client health needs, ensuring proper medication ... Oversee medication administration and audit medication administration records (MARs) to ensure ...

Apis Services, Inc.

Registered Nurse

Merchantville, NJ · On-site

$73K/yr

We are seeking a full time Registered Nurse in our Community Support Services program. Under the ... Conduct monthly medication audits. * Coordinate consumer health information amongst all healthcare ...

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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.

MDS Specialist RN

CareOne

Whippany, NJ • On-site

$83K - $120K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 27 days ago

CareOne rating

6.8

Company rating: 6.8 out of 10

Based on 30 frontline employees who took The Breakroom Quiz

49th of 240 rated social care providers

Job description


Balance Life & Work with a New Career Opportunity
Now Hiring - Lead MDS/Clinical Reimbursement Coordinator - Whippany, NJ
CareOne at Hanover
Salary Range $83,000 to $120,000 (Full-time)
Lead MDS/Clinical Reimbursement Coordinator will be responsible for, but not limited to:
  • MDS/RAI Process Leadership: Direct the timely and accurate completion of the Minimum Data Set (MDS) and Care Area Assessments (CAAs) in strict compliance with CMS regulations.
  • PDPM & Reimbursement Strategy: Strategically schedule ARDs and audit clinical documentation to capture true resident acuity, optimizing PDPM components, nursing tiers, and NTA scores.
  • Quality Measure & Five-Star Optimization: Analyze Casper reports and partner with the DON/IDT to monitor clinical triggers, drive root-cause corrections, and safeguard the facility's Five-Star rating.
  • Interdisciplinary Care Planning: Oversee the development of individualized resident Care Plans that support MDS coding, establish clear goals, and satisfy all regulatory requirements.
  • Utilization Review & Triple-Check Coordination: Lead the weekly Utilization Review (UR) and Triple-Check meetings, collaborating with therapy, nursing, and the business office to validate medical necessity, track managed care authorizations, and ensure accurate billing alignment prior to transmission.
  • Audit Readiness & Compliance: Systematically audit clinical records (MARs/TARs/physician orders) to defend data integrity against ADRs, MAC/RAC audits, and pre-payment reviews.
  • IDT Collaboration & Care Meetings: Facilitate interdisciplinary meetings to ensure seamless care integration and reimbursement alignment.
Position Requirements:
  • Licensure: Current, unrestricted Registered Nurse (RN) license in the state of practice.
  • MDS Experience: 1-3 years of dedicated MDS experience preferred; or an experienced LTC RN with strong clinical and analytical skills who can be trained.
  • Regulatory Expertise: Thorough knowledge of CMS RAI guidelines, Medicare PPS/OBRA scheduling, and federal/state long-term care regulations.
  • Clinical Knowledge: Strong understanding of general, rehabilitative, and restorative nursing practices, including comprehensive care planning.
  • Software Proficiency: Skilled in Microsoft Windows applications; experience with PointClickCare (PCC) and NetHealth is highly preferred.
  • Operational Skills: Exceptional attention to detail with a proven ability to complete assessments accurately and within strict regulatory deadlines.
  • Autonomy & Flexibility: Ability to work independently and adjust scheduling to support crucial month-end financial close procedures.
About Us
The CareOne mission is to define excellence within the health care community. We are dedicated to Maximizing Patient Outcomes. We treat Residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our Centers and Communities. We work to maintain the highest standards of care and service for Residents, families and our valued employees.
We are proud to Offer the following benefits to Part-time (22.5+ hours/week) and Full-time Employees:
  • Comprehensive Healthcare Benefits
    • Multiple Medical Plans
      • Including Pharmacy
      • Including Teladoc
    • Multiple Dental Plans
    • Vision Plan
    • Health Savings Account (eligibility restrictions apply)
    • Flexible Spending Accounts
    • Voluntary Life and AD&D
    • Short-Term and Long-Term Disability Plans
    • Hospital Indemnity Insurance
    • Critical Illness Insurance
    • Accident Insurance
    • Whole Life Insurance
    • Medicare Employee Assistance
  • Legal Plan
  • Commuter Benefits
  • 401k Retirement Plan
  • Employee Assistance Program (available to all employees)
  • Paid Time Off
    • Vacation
    • Sick Plans in accordance with state laws
  • Opportunities to advance and grow your career

If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide. We have a graciously appointed facility with strong belief in patient care and service; join us at our beautiful facility!
We are an Equal Opportunity Employer
EEO/AA/M/F/DV

What CareOne employees say

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Hours and flexibility

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About CareOne

Sourced by ZipRecruiter

CareOne is a leading healthcare corporation specializing in senior care, rehabilitation, and assisted living services. Based in Fort Lee, New Jersey, CareOne was established to meet the healthcare requirements of seniors across the state and has expanded its footprint over the years. With its dedication to excellence, CareOne provides a comprehensive range of medical and healthcare services, including post-acute care, long-term and assisted living, memory care, respite care, and more.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Fort Lee, NJ, US

Year founded

1999

Social media

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