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Nurse Auditor Jobs (NOW HIRING)

CGI Inc.

Clinical Nurse Auditor

Atlanta, GA · On-site

Clinical Nurse Auditor Category: Analytics and Emerging Digital Technologies Main location: United States, Georgia, Atlanta Alternate Location(s): United States, North Carolina, Charlotte United ...

MUSC

RN Nurse Auditor (Remote)

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

Two (2) years of RN experience Preferred ... Experienced Medical Auditor Knowledge of Medical Records and coding Reports To: Director Supervises:

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 ...

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 ...

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Nurse Auditor information

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$19

$32

$46

How much do nurse auditor jobs pay per hour?

As of Aug 14, 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 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 is a nurse auditor?

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 August 2026, with employment types broken down into 68% Full Time, 13% Part Time, 6% Temporary, and 13% Contract. Highlights an 100% In-person job distribution, with an average salary of $68,617 per year, or $33 per hour.

QUALITY NURSE AUDITOR

RCI Recruitment Solutions

Kerrville, TX

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 14 days ago

Job description

Seeking Experienced Quality Nurse Auditor... Apply Today. Our client is a non-profit, community-based, 126-bed acute care facility.As an award-winning healthcare facility, they've gained a strong reputation for delivering high-quality services to Medicare patients

Their passionate and dedicated staff members continue to provide exceptional, compassionate, and patient-centered healthcare. While working here, you can enjoy exceptional benefits in a caring, family-oriented environment. Quality Nurse Auditor Kerrville, Texas As their Quality Nurse Auditor, you will develop, plan, and coordinate core measures and manage audit requests from financial coordinators, administration, patient relations, nursing and other departments.

You will review medical records for appropriate documentation, collect data, ensure accurate billing, make suggestions, and report findings to the CFO on all audits. To qualify, you must have a Bachelor's of Science in Nursing, an RN Texas license, and a minimum 3 years' experience in acute care. A CPHQ certification is preferred and CMS, Qnet, Meditech, and HC Analytics experience is a plus.

You should have strong data management skills and the ability to develop, plan, and coordinate core measures, understand CNS guidelines, and create medical staff presentations as well as attend charge nurse meetings. Our client provides a competitive salary and benefits package including 403(b), medical, dental, vision, life insurance, flex spending, tuition assistance, paid vacations and more. Enjoy a rewarding career at an award-winning healthcare facility.

For immediate consideration, send your resume to BButler@rcirs.com and/or contact (561) 277-1216today. Our client is an Equal Opportunity Employer.

Apply