... nursing facilities. Responsibilities include but, are not limited to the following: • Conducts ... Hands-on auditing of E/M services and professional claims * Experience validating charges against ...
... nursing facilities. Responsibilities include but, are not limited to the following: • Conducts ... Hands-on auditing of E/M services and professional claims * Experience validating charges against ...
The ideal candidate is an RN leader who excels in coaching, auditing, and elevating standards of care. Responsibilities: * Conduct clinical audits and support facility compliance * Provide ongoing ...
The ideal candidate is an RN leader who excels in coaching, auditing, and elevating standards of care. Responsibilities: * Conduct clinical audits and support facility compliance * Provide ongoing ...
MDS Nurse
Westfield, MA · On-site
$37.25 - $48.75/hr
Monitoring & auditing clinical records, ensuring accuracy & timeliness * Informing DON of ... Valid RN License * MUST HAVE PRIOR MDS EXPERIENCE * Long Term Care Experience Required * Must be ...
MDS Nurse
Westfield, MA · On-site
$37.25 - $48.75/hr
Monitoring & auditing clinical records, ensuring accuracy & timeliness * Informing DON of ... Valid RN License * MUST HAVE PRIOR MDS EXPERIENCE * Long Term Care Experience Required * Must be ...
Registered Nurse Infusion
Longmeadow, MA · On-site
$50 - $60/hr
Quality Assurance & Risk Management - Experience in auditing, incident reporting, and maintaining ... Home Health or Private Duty Nursing Experience - Familiarity with BrightStar Care's business model ...
Quick apply
Registered Nurse Infusion
Longmeadow, MA · On-site
$50 - $60/hr
Quality Assurance & Risk Management - Experience in auditing, incident reporting, and maintaining ... Home Health or Private Duty Nursing Experience - Familiarity with BrightStar Care's business model ...
Registered Nurse Infusion
Longmeadow, MA · On-site
Registered Nurse Infusion Come join the dedicated team at BrightStar Care of Concord, Lexington ... Quality Assurance & Risk Management - Experience in auditing, incident reporting, and maintaining ...
Registered Nurse Infusion
Longmeadow, MA · On-site
Registered Nurse Infusion Come join the dedicated team at BrightStar Care of Concord, Lexington ... Quality Assurance & Risk Management - Experience in auditing, incident reporting, and maintaining ...
Registered Nurse Home Care Come join the dedicated team at BrightStar Care of Concord, Lexington ... Quality Assurance & Risk Management - Experience in auditing, incident reporting, and maintaining ...
Registered Nurse Home Care Come join the dedicated team at BrightStar Care of Concord, Lexington ... Quality Assurance & Risk Management - Experience in auditing, incident reporting, and maintaining ...
Registered Nurse Home Care
Springfield, MA · On-site
$50 - $60/hr
Registered Nurse (RN) Job Responsibilities: Develop and implement patient care plans in ... Quality Assurance & Risk Management - Experience in auditing, incident reporting, and maintaining ...
Registered Nurse Home Care
Springfield, MA · On-site
$50 - $60/hr
Registered Nurse (RN) Job Responsibilities: Develop and implement patient care plans in ... Quality Assurance & Risk Management - Experience in auditing, incident reporting, and maintaining ...
Registered Nurse Home Care
Springfield, MA · On-site
$50 - $60/hr
Quality Assurance & Risk Management - Experience in auditing, incident reporting, and maintaining ... Home Health or Private Duty Nursing Experience - Familiarity with BrightStar Care's business model ...
Quick apply
Registered Nurse Home Care
Springfield, MA · On-site
$50 - $60/hr
Quality Assurance & Risk Management - Experience in auditing, incident reporting, and maintaining ... Home Health or Private Duty Nursing Experience - Familiarity with BrightStar Care's business model ...
Ensure clinical quality & compliance across region through clinical supervision and oversight, chart auditing, and Letters of Medical Necessity Qualifications * Current and unrestricted Nurse ...
Ensure clinical quality & compliance across region through clinical supervision and oversight, chart auditing, and Letters of Medical Necessity Qualifications * Current and unrestricted Nurse ...
Full-time Nurse Practitioner (NP) Float - CT & Mass
Hartford, CT · Remote
$65 - $70/hr
Ensure clinical quality & compliance across region through clinical supervision and oversight, chart auditing, and Letters of Medical Necessity Qualifications * Current and unrestricted Nurse ...
Quick apply
Full-time Nurse Practitioner (NP) Float - CT & Mass
Hartford, CT · Remote
$65 - $70/hr
Ensure clinical quality & compliance across region through clinical supervision and oversight, chart auditing, and Letters of Medical Necessity Qualifications * Current and unrestricted Nurse ...
Full-time Nurse Practitioner (NP) Float - CT & Mass
Holyoke, MA · Remote
$65 - $70/hr
Ensure clinical quality & compliance across region through clinical supervision and oversight, chart auditing, and Letters of Medical Necessity Qualifications * Current and unrestricted Nurse ...
Quick apply
Full-time Nurse Practitioner (NP) Float - CT & Mass
Holyoke, MA · Remote
$65 - $70/hr
Ensure clinical quality & compliance across region through clinical supervision and oversight, chart auditing, and Letters of Medical Necessity Qualifications * Current and unrestricted Nurse ...
Ensure clinical quality & compliance across region through clinical supervision and oversight, chart auditing, and Letters of Medical Necessity Qualifications * Current and unrestricted Nurse ...
Ensure clinical quality & compliance across region through clinical supervision and oversight, chart auditing, and Letters of Medical Necessity Qualifications * Current and unrestricted Nurse ...
In this role, he/she will provide clerical, secretarial and administrative support to the Nursing ... Auditing paperwork for accuracy, understand auditing process * Proficiency in office skills ...
In this role, he/she will provide clerical, secretarial and administrative support to the Nursing ... Auditing paperwork for accuracy, understand auditing process * Proficiency in office skills ...
Registered Nurse
Enfield, CT · On-site
$46 - $53/hr
... Nurse City Enfield Work Location Type On-site State CT Employment Type Full-time (30+ hrs/week) ... Maintenance, monitoring, and auditing of site emergency cart to include collaboration with managers ...
Registered Nurse
Enfield, CT · On-site
$46 - $53/hr
... Nurse City Enfield Work Location Type On-site State CT Employment Type Full-time (30+ hrs/week) ... Maintenance, monitoring, and auditing of site emergency cart to include collaboration with managers ...
Resident Care Director
$68K - $91K/yr
Analyzes and evaluates nursing and related services rendered to ensure quality of resident care ... Completes routine auditing of all Resident Care systems, in accordance with Resident Care Services ...
Resident Care Director
$68K - $91K/yr
Analyzes and evaluates nursing and related services rendered to ensure quality of resident care ... Completes routine auditing of all Resident Care systems, in accordance with Resident Care Services ...
Resident Care Director
Glastonbury, CT · On-site
$68K - $91K/yr
Analyzes and evaluates nursing and related services rendered to ensure quality of resident care ... Completes routine auditing of all Resident Care systems, in accordance with Resident Care Services ...
Quick apply
Resident Care Director
Glastonbury, CT · On-site
$68K - $91K/yr
Analyzes and evaluates nursing and related services rendered to ensure quality of resident care ... Completes routine auditing of all Resident Care systems, in accordance with Resident Care Services ...
Resident Care Director
Glastonbury, CT · On-site
$68K - $91K/yr
Analyzes and evaluates nursing and related services rendered to ensure quality of resident care ... Quality Assurance • Completes routine auditing of all Resident Care systems, in accordance with ...
Resident Care Director
Glastonbury, CT · On-site
$68K - $91K/yr
Analyzes and evaluates nursing and related services rendered to ensure quality of resident care ... Quality Assurance • Completes routine auditing of all Resident Care systems, in accordance with ...
Reports to the Nurse Manager, but daily activities are coordinated by the charge nurse ... C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor, People Soft and Staples, and Koronos access ...
Reports to the Nurse Manager, but daily activities are coordinated by the charge nurse ... C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor, People Soft and Staples, and Koronos access ...
Reports to the Nurse Manager, but daily activities are coordinated by the charge nurse ... C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor, People Soft and Staples, and Koronos access ...
Reports to the Nurse Manager, but daily activities are coordinated by the charge nurse ... C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor, People Soft and Staples, and Koronos access ...
Reports to the Nurse Manager, but daily activities are coordinated by the charge nurse ... C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor, People Soft and Staples, and Koronos access ...
Reports to the Nurse Manager, but daily activities are coordinated by the charge nurse ... C Word, OA Gold, SMS, CIS, Premise, BMD, PCM Auditor, People Soft and Staples, and Koronos access ...
Nurse Auditor information
See Springfield, MA salary details
$19.18 - $21.57
6% of jobs
$21.57 - $23.95
6% of jobs
$23.95 - $26.33
3% of jobs
$27.86 is the 25th percentile. Wages below this are outliers.
$26.33 - $28.71
15% of jobs
$28.71 - $31.10
17% of jobs
The median wage is $31.42 / hr.
$31.10 - $33.48
23% of jobs
$34.33 is the 75th percentile. Wages above this are outliers.
$33.48 - $35.86
15% of jobs
$35.86 - $38.24
8% of jobs
$38.24 - $40.62
0% of jobs
$40.62 - $43.01
0% of jobs
$43.01 - $45.39
7% of jobs
$19
$32
$45
How much do nurse auditor jobs pay per hour?
As of Aug 28, 2026, the average hourly pay for nurse auditor in Springfield, MA is $32.11, according to ZipRecruiter salary data. Most workers in this role earn between $28.08 and $35.10 per hour, depending on experience, location, and employer.
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.
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?
| Aspect | Nurse Auditor | Medical Coder |
|---|---|---|
| Required Credentials | RN license, certification in healthcare auditing (e.g., CHAA) | Certification in coding (e.g., CPC, CCS) |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Medical offices, hospitals, billing companies |
| Employer & Industry Usage | Healthcare auditing and compliance | Medical 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.
More about Nurse Auditor jobs
What are the most commonly searched types of Nurse Auditor jobs in Springfield, MA?
The most popular types of Nurse Auditor jobs in Springfield, MA are:
What are popular job titles related to Nurse Auditor jobs in Springfield, MA?
For Nurse Auditor jobs in Springfield, MA, the most frequently searched job titles are:
What job categories do people searching Nurse Auditor jobs in Springfield, MA look for?
The top searched job categories for Nurse Auditor jobs in Springfield, MA are:
What cities near Springfield, MA are hiring for Nurse Auditor jobs?
Cities near Springfield, MA with the most Nurse Auditor job openings:
Coding & Documentation Compliance Auditor
Hartford, CT • On-site
Hartford HealthCare at Home •
Health Care and Social Assistance • 201 - 500 employees201 - 500 employees
Full-time
Re-posted 25 days ago
Job description
Work where every moment matters.
Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.
The Coding & Documentation Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Coding & Documentation Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional , facility (inpatient and outpatient), home health and skilled nursing facilities. Responsibilities include but, are not limited to the following:
• Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or Director.
• Maintains organized files to support audit observations and drafts related audit reports in accordance with agreed upon standards in a timely manner.
• Collaborates with business owner to develop agreed-upon action plans to address findings identified during an audit.
• Communicates audit results and corrective action plans to audit stakeholders. Monitors progress of corrective actions and provides status reports to leadership. Independently validates that corrective action plans are implemented as intended.
• Stays up to date on documentation, coding and billing regulations and requirements via professional organizations and through independent research and education on payor rules, requirements and regulatory guidelines (HHS/OIG, Medicare, Medicaid, NGS, Commercial Insurers, etc).
• Assists with review and/or investigation of Compliance Line reports as requested by the Manager or Director.
• Assists with the development and revision of HHC and Department Policies and Procedures.
• Participates in the annual and ongoing risk assessments to develop and revise the Revenue Compliance Work Plan.
Qualifications:
Education:
Experience:
We take great care of careers.
With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment
Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.
The Coding & Documentation Compliance Auditor contributes to the success of the Office of Compliance and Integrity (OCI) by executing clinical documentation, coding and billing audits as assigned or scheduled. The Coding & Documentation Compliance Auditor performs independent reviews to assess compliance with federal, state and private payor regulations, guidelines and requirements. Documentation and coding audits may include professional , facility (inpatient and outpatient), home health and skilled nursing facilities. Responsibilities include but, are not limited to the following:
• Conducts audits in accordance with the approved Revenue Compliance Work Plan or as requested by the Manager or Director.
• Maintains organized files to support audit observations and drafts related audit reports in accordance with agreed upon standards in a timely manner.
• Collaborates with business owner to develop agreed-upon action plans to address findings identified during an audit.
• Communicates audit results and corrective action plans to audit stakeholders. Monitors progress of corrective actions and provides status reports to leadership. Independently validates that corrective action plans are implemented as intended.
• Stays up to date on documentation, coding and billing regulations and requirements via professional organizations and through independent research and education on payor rules, requirements and regulatory guidelines (HHS/OIG, Medicare, Medicaid, NGS, Commercial Insurers, etc).
• Assists with review and/or investigation of Compliance Line reports as requested by the Manager or Director.
• Assists with the development and revision of HHC and Department Policies and Procedures.
• Participates in the annual and ongoing risk assessments to develop and revise the Revenue Compliance Work Plan.
Qualifications:
Education:
- Bachelor's Degree Required
Experience:
- A minimum of two (2) years of health care compliance experience, preferably in a large Healthcare system setting or in a consulting capacity.
- Certified Professional Coder (CPC) certification strongly preferred
Knowledge, Skills and Ability Requirements : - Experience performing provider documentation and coding audits
- Hands-on auditing of E/M services and professional claims
- Experience validating charges against medical records
- Strong knowledge of Medicare/Medicaid, CPT, and ICD-10
- Experience in physician billing or revenue integrity
We take great care of careers.
With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment
About Hartford HealthCare at Home
Sourced by ZipRecruiter
Hartford HealthCare at Home, based in Wethersfield, Connecticut, US, is a premier provider in the healthcare industry, specifically in home-based care services. Their official website can be accessed at hartfordhealthcareathome.org. They offer a wide range of services including nursing, physical therapy, occupational therapy, speech therapy, social work, and home health aid. The company was established with the mission to enhance the capability of people to achieve optimal health and wellbeing through its home care services. They maintain a patient-centric approach and belief in making a real difference in people's lives. As an integral part of Hartford HealthCare, they share the vision to be “most trusted for personalized coordinated care”.
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Wethersfield, CT, US