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Nurse Chart Auditor Jobs in Spring, TX (NOW HIRING)

Performs medical record / chart audits and documents opportunities related to high quality, safe ... Collaborate with the Director to develop auditing processes and training to ensure adherence to ...

Performs medical record / chart audits and documents opportunities related to high quality, safe ... Collaborate with the Director to develop auditing processes and training to ensure adherence to ...

Performs medical record / chart audits and documents opportunities related to high quality, safe ... Collaborate with the Director to develop auditing processes and training to ensure adherence to ...

This includes participating in test trays, menu reviews, periodic auditing of trayline for accuracy ... Participates in peer reviews and chart audits, and collaborates in Diet Manual Handbook training ...

This includes participating in test trays, menu reviews, periodic auditing of trayline for accuracy ... Participates in peer reviews and chart audits, and collaborates in Diet Manual Handbook training ...

This includes participating in test trays, menu reviews, periodic auditing of trayline for accuracy ... Participates in peer reviews and chart audits, and collaborates in Diet Manual Handbook training ...

Participates in peer reviews and chart audits, and collaborates in Diet Manual Handbook training ... nurses, therapists, physicians, etc.), including how to access it in hard and soft copy. Required

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Nurse Chart Auditor information

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How much do nurse chart auditor jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for nurse chart auditor in Spring, TX is $29.36, according to ZipRecruiter salary data. Most workers in this role earn between $25.67 and $32.07 per hour, depending on experience, location, and employer.

What is a nurse chart auditor?

Nurse Chart Auditors are registered nurses who review and evaluate patient medical records to ensure accuracy, compliance with regulations, and proper documentation of care. They check for completeness, correct coding, and adherence to healthcare policies and standards. Their work helps improve patient care quality, ensures legal compliance, and may identify areas for process improvement within healthcare facilities.

What are the key skills and qualifications needed to thrive as a nurse chart auditor, and why are they important?

To thrive as a Nurse Chart Auditor, you need a solid background in nursing practice, clinical documentation, and healthcare compliance, often requiring an active RN license and experience in medical records review. Familiarity with electronic health records (EHR) systems, coding standards (such as ICD-10, CPT), and auditing software is typically expected. Attention to detail, analytical thinking, and effective communication are standout soft skills in this role. These abilities ensure accurate chart reviews, regulatory compliance, and improved patient care quality through thorough documentation assessment.

What are the most common challenges nurse chart auditors face when reviewing medical records, and how can they be addressed?

Nurse Chart Auditors often encounter challenges such as incomplete documentation, discrepancies in patient records, and varying charting styles among healthcare providers. To address these issues, auditors need strong attention to detail, effective communication skills for clarifying information with staff, and up-to-date knowledge of regulatory standards. Staying organized and using standardized audit tools can also help ensure thorough and consistent reviews while minimizing errors.

What is the difference between Nurse Chart Auditor vs Medical Records Technician?

AspectNurse Chart AuditorMedical Records Technician
CertificationsRN license, auditing certificationsNone required, often certified in health information management
Work EnvironmentHospitals, clinics, healthcare facilitiesMedical records departments, healthcare organizations
Primary ResponsibilitiesReview and ensure accuracy of clinical documentationOrganize, code, and maintain patient records
Industry UsageHealthcare, insurance, complianceHealthcare, health information management

While both roles involve handling medical records, Nurse Chart Auditors focus on reviewing clinical documentation for accuracy and compliance, often requiring nursing licensure. Medical Records Technicians primarily organize and maintain patient records, with less emphasis on clinical review. Understanding these differences helps healthcare organizations assign the right professionals for record accuracy and management tasks.

What are popular job titles related to Nurse Chart Auditor jobs in Spring, TX?

For Nurse Chart Auditor jobs in Spring, TX, the most frequently searched job titles are:

What job categories do people searching Nurse Chart Auditor jobs in Spring, TX look for?

The top searched job categories for Nurse Chart Auditor jobs in Spring, TX are:

What cities near Spring, TX are hiring for Nurse Chart Auditor jobs?

Cities near Spring, TX with the most Nurse Chart Auditor job openings:

Medical Compliance Auditor

Texas Children's Hospital

Bellaire, TX • On-site

Full-time

Re-posted 6 days ago


Texas Children's Hospital rating

8.3

Company rating: 8.3 out of 10

Based on 177 frontline employees who took The Breakroom Quiz

86th of 1,064 rated hospitals


Job description

We are searching for a Medical Compliance Auditor - someone who works well in a fast-paced setting. In this position, you will review and approve or deny medical claim appeals and perform clinical audits of medical records submitted in support of services billed by providers. This process includes clinical judgment, utilization review, application of product benefits, understanding of regulatory requirements for Medicaid managed care and fraud and abuse, and verification of medical necessity utilizing nationally recognized criteria.

Think you've got what it takes?

Job Duties & Responsibilities 
   Assess the treatment plan, clinical information, and medical necessity of all requested services 
   Utilizes established criteria to appropriately review billed services within established timeframe required. 
   Consults with medical directors and clinical staff regarding patient's history and current care needs and whether services billed were appropriate. 
   Refers case failing medical necessity criteria to the Special Investigations Unit (SIU) Director and SIU Workgroup for review and a recommendation for action. 
   Telephonic follow-up with the provider's office to request additional information as needed. 
   Completes timely entry of information into electronic file including a chart with detailed findings of the review and a report summarizing the results of the audit. 
   Evaluate benefit coverage and regulatory guidelines pertinent to decision making for each investigation. 
   Perform Clinical and Coding Review on Medical Claim Appeals. 
   Assess and process all education and recoupment letters after Special Investigative Committee review decision. 
   Facilitates provider communication and education. 
   Liaisons with internal staff members. 
   Perform Clinical Review and make recommendation on Audit Pass/Fail. 
   Ongoing assessment for quality indicators and concerns.


Skills & Requirements 
    Required Associate's Degree in Nursing  or
    Technical Diploma in Vocation Nursing
    Preferred Bachelor's Degree in Nursing
    Required LVN - Lic- Licensed Vocational Nurses Texas Board of Nursing or Nursing Licensure Compact or 
    RN-Lic-Registered Nurses Texas Board of Nursing or Nursing Licensure Compact 
    Preferred CPC-Cert-Cert Professional Coder Americal Academy of Professional Coders
     Required 3 years Clinical experience in the applicable field according to the license (LVN or RN) 
     4 years of Medical Auditing experience.
 

Founded in 1996, Texas Children's Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.

To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.

Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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