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Rn Auditor Jobs (NOW HIRING)

RN Auditor Under direct supervision of the Manager, RN Auditor, the RN Auditor is responsible for the review of medical record documentation for accuracy, and completeness in regard to compliance ...

Registered Nurse licensed in New York preferred. 3+ years' experience in hospital setting preferred. Auditing experience preferred. Knowledge of CPT/HCPCS procedural coding and Charge Description ...

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 ...

Nurse Auditor will be a representative for Mercy in defense audit processes, while driving the ... Bachelor's degree in a clinical area Licensure: RN Experience: 3-5 years of related healthcare ...

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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Rn Auditor information

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$19

$32

$46

How much do rn auditor jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for rn 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 the difference between Rn Auditor vs Rn?

AspectRn AuditorRn
CertificationsRN license, Auditor certifications (e.g., CQPA)RN license
Work EnvironmentHealthcare facilities, auditing settingsHospitals, clinics, patient care settings
Job FocusAuditing compliance, quality assurancePatient care, clinical duties
Employer & IndustryHealthcare organizations, insurance companiesHospitals, clinics, healthcare providers

The main difference is that an Rn Auditor specializes in reviewing healthcare compliance and quality standards, often working in auditing roles, while an Rn primarily provides direct patient care. Both roles require an RN license, but the Auditor role additionally emphasizes auditing certifications and compliance expertise.

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

To thrive as an RN Auditor, you need a solid nursing background, current RN licensure, and experience in clinical documentation and healthcare compliance. Familiarity with auditing software, electronic health records (EHRs), and coding systems such as ICD-10 and CPT is typically required. Attention to detail, analytical thinking, and strong written and verbal communication are standout soft skills in this position. These skills ensure accurate audits, regulatory compliance, and effective communication with clinical and administrative teams, which are vital for maintaining healthcare quality and integrity.

How to make $100,000 as an RN?

Registered nurses (RNs) can earn $100,000 or more by gaining specialized certifications, working in high-demand areas such as critical care or anesthesia, and pursuing roles in management or travel nursing. Increasing experience, working overtime, and obtaining advanced degrees like a BSN or MSN can also boost earning potential.

What does an RN Auditor do?

An RN Auditor is a registered nurse who reviews medical records and healthcare documentation to ensure accuracy, compliance with regulations, and quality of care. They analyze patient charts, billing codes, and clinical procedures to identify discrepancies or errors that could impact patient safety or reimbursement. RN Auditors often work for hospitals, insurance companies, or healthcare organizations and play a crucial role in maintaining standards and preventing fraud. Their expertise in nursing and healthcare regulations allows them to provide valuable feedback and recommendations for process improvements.

How does an RN Auditor typically collaborate with clinical and administrative teams to improve patient care quality?

RN Auditors often work closely with both clinical staff and administrative departments to review patient records, identify documentation gaps, and ensure compliance with healthcare regulations. They regularly communicate findings and provide feedback or training to nurses and other healthcare professionals to drive quality improvements. This collaboration helps to standardize best practices, minimize errors, and enhance overall patient care. Effective teamwork and clear communication are essential, as RN Auditors act as a bridge between quality assurance and frontline clinical services.
More about Rn Auditor jobs
What cities are hiring for Rn Auditor jobs? Cities with the most Rn Auditor job openings:
What are the most commonly searched types of Rn Auditor jobs? The most popular types of Rn Auditor jobs are:
What states have the most Rn Auditor jobs? States with the most job openings for Rn Auditor jobs include:
Infographic showing various Rn Auditor job openings in the United States as of June 2026, with employment types broken down into 18% As Needed, 14% Full Time, and 68% Part Time. Highlights an 87% Physical, 6% Hybrid, and 7% Remote job distribution, with an average salary of $68,617 per year, or $33 per hour.

$48.77 - $81.51/hr

Other

Posted 21 days ago


Torrance Memorial Medical Center rating

8.5

Company rating: 8.5 out of 10

Based on 39 frontline employees who took The Breakroom Quiz

48th of 995 rated hospitals


Job description

RN Auditor

Under direct supervision of the Manager, RN Auditor, the RN Auditor is responsible for the review of medical record documentation for accuracy, and completeness in regard to compliance with all Federal and State regulatory bodies, Medicare, and Medi-Cal programs by analyzing ADT documentation, Business Office notes and Case Management clinical reviews through intensive medical record review.

Core Competencies

Ensures other requirements from a regulatory perspective such as delivery of the "Medicare Important Message" are met.

Ensures all other clinical documents meet regulatory requirements as it relates to date, time and signature.

Performs concurrent and retrospective review of Medicare and MediCal and other payors patient's electronic and paper charts for correct patient status and appropriate admissions transfer and discharge physician orders.

Verifies billing system for correct status prior to bill being approved and submission of daily adjudication reports.

Applies appropriate clinical criteria (i.e. MCG) when reviewing medical records either concurrently or retrospectively.

Works collaboratively with other hospital departments regarding ongoing employee education for correct data entry of ADT orders within the Medical Center.

Understands the responsibilities of the Physician Advisors as the first and second level professional review organization within the Medical Center.

Acts as a change agent by recognizing patterns and identifying opportunities for interdepartmental process improvement.

Identifies and refers accounts meeting established criteria to the Utilization Review Committee.

Documents audit finding such as: correct account status; level of care changes; etc., if applicable, on the Billing Audit form.

Assists with RAC preparation.

Assists in gathering documentation necessary to respond to the initial data requests and any subsequent appeals.

Participates in department and hospital Performance Improvement (PI) activities.

Education

Degree - Program

Associates - Nursing

Experience

Number of Years Experience - Type of Experience

5 - Case Management and/or Utilization Management experience.

Additional Information

Requires a working knowledge of CMS guidelines and related healthcare industry standards. Must have clinical documentation, medical necessity and/or utilization management review experience.

License / Certification Requirements

Registered Nurse License

ANCC Certification within a year of hire

Compensation Range $48.77 - $81.51 / Hour


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