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Nurse Chart Auditor Jobs (NOW HIRING)

Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding ...

Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding ...

... and chart documentation using various clinical and financial systems to improve clinical ... S. degree in Nursing, Health Information Management, Healthcare Administration, Business ...

New

Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits (DRG Validation). The ideal candidate for this position needs to have both a clinical (nurse) and ...

Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits (DRG Validation). The ideal candidate for this position needs to have both a clinical (nurse) and ...

Charge Auditor

Carol Stream, IL · On-site

$15.75 - $20.50/hr

... Information Systems. 4)EMR chart auditing for correct documentation and charge entry. 5 ... nursing personnel 3) Analytical and problem-solving skills 4) Ability to handle multiple tasks and ...

... and chart documentation using various clinical and financial systems to improve clinical ... S. degree in Nursing, Health Information Management, Healthcare Administration, Business ...

New

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Nurse Chart Auditor information

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$19

$32

$46

How much do nurse chart auditor jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for nurse chart 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 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.

More about Nurse Chart Auditor jobs

What cities are hiring for Nurse Chart Auditor jobs?

Cities with the most Nurse Chart Auditor job openings:

What states have the most Nurse Chart Auditor jobs?

States with the most job openings for Nurse Chart Auditor jobs include:

Infographic showing various Nurse Chart Auditor job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 53% Full Time, 16% Part Time, and 27% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $68,617 per year, or $33 per hour.

Auditor Clinical Validation DRG

Cotiviti

Remote

$45.67/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago


Cotiviti rating

8.3

Company rating: 8.3 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

51st of 224 rated it services


Job description

Overview
This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding / auditing background focused on the following disciplines from a coding and billing perspective: Inpatient DRG/APR-DRG. This position is responsible for auditing inpatient claims and documenting the results of those audits, with a focus on clinical review, coding accuracy, and the appropriateness of treatment setting and services delivered.
Responsibilities
  • Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently.
  • Effectively Utilizes Audit Tools. Utilizes Cotiviti proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters.
  • Meets or Exceeds Standards/Guidelines for Productivity. Maintains production goals set by the audit operations management team.
  • Meets or Exceed Standards/Guidelines for Accuracy and Quality. Achieves the expected level of accuracy and quality set by the audit for the auditing concept, for valid claim.
  • identification and documentation (letter writing).
    Identifies New Claim Types.
  • Identifies potential claims outside of the concept where additional recoveries may be available.
  • Suggests and develops high quality, high value concept and or process improvement, tools, etc.
  • Complete all responsibilities as outlined on annual Performance Plan.
  • Complete all special projects and other duties as assigned.
  • Must be able to perform duties with or without reasonable accommodation.
  • Complete all responsibilities as outlined on annual Performance Plan.
  • Complete all special projects and other duties as assigned.
  • Must be able to perform duties with or without reasonable accommodation.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.
Qualifications
Education (at least one of the following are required):
  • Associate or bachelor's degree in nursing (active /unrestricted license).
  • Associate or bachelor's degree Health Information Management (RHIA or RHIT).
  • High school diploma or GED plus equivalent experience of 5+ years' experience in claims auditing, quality assurance, or recovery auditing...ideally in a DRG / Clinical Validation Audit setting or a hospital environment.

Coding/CDI Certification (at least one of the following are required and are to be maintained as a condition of employment):
  • RHIA or RHIT.
  • CPC.
  • Inpatient Coding Credential - CCS, CIC, CDIP or CCDS.

Experience (required):
  • 5 to 7+ years of working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG with a broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, medical necessity criteria and coding terminology.
  • Adherence to official coding guidelines, coding clinic determinations and CMS and other regulatory compliance guidelines and mandates. Requires expert coding knowledge - DRG, APRDRG, ICD-10, CPT, HCPCS codes.
  • Requires working knowledge of and applicable industry-based standards.
  • Proficiency in Word, Access, Excel, TEAMS, and other applications.
  • Excellent written and verbal communication skills.

Mental Requirements:
  • Communicating with others to exchange information.
  • Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:
  • Remaining in a stationary position, often standing or sitting for prolonged periods.
  • Repeating motions that may include the wrists, hands, and/or fingers.
  • Must be able to provide a dedicated, secure work area.
  • Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
  • No adverse environmental conditions expected.

Base compensation is paid hourly at $45.67 per hour (95k annualized). This role is eligible for discretionary bonus consideration.
Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
Date of posting: 7/2/2026
Applications are assessed on a rolling basis. We anticipate that the application window will close on 9/2/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
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