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Nurse Auditor Jobs (NOW HIRING)

MUSC

RN Nurse Auditor

Charleston, SC · On-site

Summary The RN Nurse Auditor is a key member of the Clinical Appeals team and reports directly to the Clinical Appeals Manager. This role is responsible for conducting clinical reviews of payer audit ...

Eisenhower

RN Nurse Auditor

Rancho Mirage, CA · On-site

$48.09 - $78.18/hr

California RN Licensure Experience: Required ... Experienced Medical Auditor Knowledge of Medical Records and codingPreferred: Prior Customer ...

ProKatchers LLC

RN Auditor

Camarillo, CA

Qualifications SKILLS & ABILITIES Business, Health Sciences, Managed Care Registered Nurse (RN).Required Experience: 3 plus years of experience in an audit, compliance or delegation oversight role ...

ProKatchers LLC

RN Auditor

Camarillo, CA · On-site

Qualifications SKILLS & ABILITIES Business, Health Sciences, Managed Care Registered Nurse (RN).Required Experience: 3 plus years of experience in an audit, compliance or delegation oversight role ...

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$19

$32

$46

How much do nurse auditor jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for nurse auditor 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 a Nurse Auditor?

As a nurse auditor, you use your knowledge of nursing practices and care standards to analyze medical records, insurance information, and other details of patient care. Your responsibilities include verifying insurance coverage, examining billing issues and payments, and ensuring the legal validity of records and paperwork. You work in health care facilities like hospitals, urgent-care centers, and clinics and with duties that require you to communicate with doctors, nurses, staff, and human resources and accounting departments. Your nursing knowledge and auditing skills protect both patients and the care facilities in which you work.

How to make 300,000 dollars as a nurse?

Achieving a salary of $300,000 as a nurse typically requires advanced roles such as nurse anesthetist, nurse practitioner, or nurse executive, which often demand specialized certifications, extensive experience, and advanced degrees. Working in high-demand settings, taking on leadership positions, or specializing in lucrative fields can also increase earning potential significantly.

How to get into nurse auditing?

To become a nurse auditor, you typically need a registered nurse (RN) license and experience in healthcare or medical billing. Gaining knowledge of coding, billing procedures, and healthcare regulations, along with certifications such as Certified Professional Medical Auditor (CPMA), can improve job prospects. Many nurse auditors work in healthcare facilities, insurance companies, or auditing firms, often requiring strong analytical skills and attention to detail.

How to be a clinical nurse auditor?

To become a clinical nurse auditor, you typically need a registered nurse (RN) license and experience in clinical or healthcare settings. Additional certifications such as Certified Professional Medical Auditor (CPMA) or Certified Coding Specialist (CCS) can enhance qualifications, and strong knowledge of healthcare regulations, coding, and documentation is essential. Many roles also require proficiency with electronic health records (EHR) systems and attention to detail.

What are the key skills and qualifications needed to thrive as a Nurse Auditor, and why are they important?

To thrive as a Nurse Auditor, you need a solid background in nursing, strong analytical skills, and in-depth knowledge of healthcare regulations, typically supported by RN licensure and experience in clinical or case review settings. Familiarity with auditing software, electronic health record (EHR) systems, and coding standards such as ICD-10 and CPT is essential. Attention to detail, critical thinking, and effective communication are key soft skills that help in identifying discrepancies and collaborating with healthcare teams. These skills ensure accurate audits, regulatory compliance, and the financial integrity of healthcare organizations.

What are some common challenges Nurse Auditors face when reviewing medical records, and how can they effectively address them?

Nurse Auditors often encounter challenges such as incomplete documentation, discrepancies between physician notes and billing codes, and navigating complex healthcare regulations. To address these, they must maintain strong attention to detail, keep up-to-date with coding standards, and communicate effectively with clinical and administrative staff to clarify ambiguities. Building collaborative relationships with the healthcare team and participating in ongoing education can also help Nurse Auditors stay current and improve the accuracy and efficiency of their audits.

What is the difference between Nurse Auditor vs Medical Coder?

AspectNurse AuditorMedical Coder
Required CredentialsRN license, certification in healthcare auditing (e.g., CHAA)Certification in coding (e.g., CPC, CCS)
Work EnvironmentHospitals, insurance companies, healthcare facilitiesMedical offices, hospitals, billing companies
Employer & Industry UsageHealthcare auditing and complianceMedical billing and coding

Both Nurse Auditors and Medical Coders work in healthcare settings, but Nurse Auditors focus on reviewing billing and compliance from an auditing perspective, often requiring RN licensure and auditing certifications. Medical Coders specialize in translating medical procedures into codes for billing, primarily needing coding certifications. While their roles overlap in healthcare documentation, their core responsibilities and certifications differ.

What does a nurse auditor do?

A nurse auditor reviews healthcare claims, medical records, and billing information to ensure accuracy and compliance with regulations. They analyze documentation to identify errors, prevent fraud, and improve billing processes, often using auditing software and healthcare standards. Nurse auditors typically have nursing licensure and knowledge of healthcare reimbursement systems.

What are Nurse Auditors?

Nurse Auditors are registered nurses who specialize in reviewing medical records, billing data, and healthcare services to ensure accuracy, compliance, and proper reimbursement. They analyze healthcare documentation to verify that services provided are medically necessary and billed correctly according to regulations and standards. Nurse Auditors often work for hospitals, insurance companies, or government agencies and play a crucial role in preventing fraud, reducing costs, and improving the quality of patient care.
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Nurse Auditor jobs near you
Infographic showing various Nurse Auditor job openings in the United States as of July 2026, with employment types broken down into 7% Locum Tenens, 84% Full Time, 7% Part Time, and 2% Contract. Highlights an 87% Physical, 6% Hybrid, and 7% Remote job distribution, with an average salary of $68,617 per year, or $33 per hour.

NURSE AUDITOR LPNLVN (57113)

PRIORITY MANAGEMENT

Lutcher, LA

Other

Medical, Dental, Vision, Life, PTO

Posted 17 days ago

Job description

Nurse Auditor

Come join an amazing team!

Our care teams are true caregivers. They serve patients with dedication and compassion and are the heart of our patients’ care and recovery. Whether providing direct care or operational support, Priority Management seeks people who share our commitment to providing excellent care to our patients and residents. Our patients are our passion and we invite you to join our team!

Job Summary:

The Nurse Auditor maintains the policies and procedures established for the record keeping of the nursing facility to comply with all regulations, both State, Federal and Health Information Management Standards.

Performance Requirements:

The Nurse Auditor is responsible for assembling, performing the concurrent reviews as outlined by company policy, storing and protecting the clinical records and maintaining an organized record system for both active and discharged files for prompt retrieval.

Job Duties - Outlined:

Legal Aspects: Knowledgeable about release of information according to State and Federal Guidelines. Prepares reports for court. Destroys clinical records according to company policy.

Control of Clinical Record Files: Maintains filing system in an organized manner for both active and discharged records. Maintains a number system for record identification.

Completion of Discharges/Transfers/Death Records

Special Duties: Consists of Analysis and Evaluation of Clinical Records

 Benefits Include:

  • Medical
  • Dental
  • Vision
  • Basic Company Paid Life insurance
  • Long Term Disability
  • Voluntary Life Insurance for the Employee, Employee Spouse and Employee Children
  • Short Term Disability, Cancer, Critical Illness, Accidental and Universal Life
  • Employee Referral Bonus Potential Program
  • Daily Pay
  • Tuition Reimbursement
  • Paid Time Off

Qualifications:

The Nurse Auditor must have an active certified LPN license. Previous experience is helpful, but not required.

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