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Nursing Auditor Jobs (NOW HIRING)

Jzanus Consulting

Nurse Auditor

Garden City, NY · On-site

$87K/yr

Associates or Bachelor of Science in Nursing required. Strong Computer and software skills required ... Auditing experience preferred. Knowledge of CPT/HCPCS procedural coding and Charge Description ...

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 ... Bachelor's degree in Nursing from an accredited school of nursing and a minimum of three years ...

Eisenhower

RN Nurse Auditor

Rancho Mirage, CA

$48.09 - $78.18/hr

... auditing medical records for all accounts scheduled for audits by insurance companies, external ... Required: Bachelor's degree in Nursing or Master's degree in Nursing or enrollment in an RN ...

MMC Group

DRG Auditor

San Antonio, TX · Remote

Follow proper procedure for referral to Clinical Nurse Auditor or Physician Advisor. * Utilize proper reference material, standards, and guidelines for coding. * Provide input to the Edit Development ...

CGI Inc.

Remote MSDRG Auditor

Atlanta, GA · On-site +1

Follows proper procedure for referral to Clinical Nurse Auditor or Physician Advisor, as applicable. Utilizes proper reference material, standards, and guidelines for coding. Provides input to the ...

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How much do nursing auditor jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for nursing 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 Nursing Auditors?

Nursing Auditors are registered nurses who specialize in reviewing healthcare records, processes, and billing to ensure accuracy, compliance, and quality of care. They assess patient charts, evaluate documentation, and verify that medical services meet regulatory standards and insurance guidelines. Nursing Auditors play a critical role in preventing fraud, reducing errors, and optimizing healthcare operations. Their work helps healthcare organizations maintain compliance with legal and ethical standards, ultimately improving patient outcomes.

What does a nurse auditor do?

A nurse auditor reviews healthcare records, billing, and documentation to ensure compliance with regulations and accuracy in claims processing. They analyze medical records to verify proper coding, identify errors or fraud, and improve billing practices, often using electronic health record systems. Certification as a nurse auditor or in healthcare compliance can enhance job prospects.

What is the difference between Nursing Auditor vs Medical Coder?

AspectNursing AuditorMedical Coder
CredentialsRN license, auditing certificationsCertification in coding (CPC, CCS)
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, hospitals
Primary ResponsibilitiesReviewing medical records for compliance and accuracyTranslating medical diagnoses and procedures into codes

Both Nursing Auditors and Medical Coders work in healthcare settings, focusing on documentation and compliance. Nursing Auditors primarily review medical records for billing accuracy and regulatory adherence, often requiring nursing licenses. Medical Coders translate clinical information into standardized codes for billing and reporting. While their roles overlap in documentation review, their certifications, skills, and daily tasks differ significantly.

What are some common challenges Nursing Auditors face when reviewing clinical documentation?

Nursing Auditors often encounter challenges such as incomplete or inconsistent patient records, varying documentation practices across departments, and navigating complex regulatory requirements. Ensuring the accuracy and compliance of records while maintaining positive relationships with clinical staff can also be demanding. Staying current with evolving healthcare standards and effectively communicating audit findings are crucial to success in this role.

How to make 300,000 as a nurse?

Nursing auditors typically earn between $70,000 and $100,000 annually, so reaching a $300,000 income generally requires additional roles such as nurse management, consulting, or specialized certifications like Certified Professional Coder (CPC) or Nurse Executive. Combining multiple income streams, working in high-paying healthcare settings, or pursuing advanced degrees can help increase earnings toward that goal.

How to get a nurse auditor job?

To become a nurse auditor, candidates typically need a registered nurse (RN) license and experience in healthcare or medical billing. Earning certifications such as the Certified Professional Medical Auditor (CPMA) can improve job prospects, and familiarity with medical records, coding, and auditing software is often required. Applying to healthcare organizations, insurance companies, or auditing firms and demonstrating strong attention to detail are key steps.

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

To thrive as a Nursing Auditor, you need a solid nursing background (often an RN license), strong analytical abilities, and knowledge of healthcare regulations and compliance standards. Familiarity with electronic health records (EHRs), auditing software, and industry certifications like Certified Professional Medical Auditor (CPMA) is commonly required. Attention to detail, integrity, and effective communication are essential soft skills for reviewing records and reporting findings. These skills ensure accurate audits, regulatory compliance, and improved patient care quality within healthcare organizations.

What is the role of the nurse in auditing?

A nursing auditor reviews medical records and documentation to ensure compliance with healthcare regulations, billing accuracy, and quality standards. They analyze patient charts, verify proper coding, and identify discrepancies to support accurate reimbursement and quality improvement efforts.
More about Nursing Auditor jobs
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What states have the most Nursing Auditor jobs? States with the most job openings for Nursing Auditor jobs include:
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Nursing Auditor jobs near you
Infographic showing various Nursing Auditor job openings in the United States as of July 2026, with employment types broken down into 2% Locum Tenens, 81% Full Time, 13% Part Time, 2% Contract, 1% Nights, and 1% Summer. Highlights an 86% Physical, 4% Hybrid, and 10% 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 7 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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