RN Auditor - FT Days
$48.77 - $81.51/hr
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 ...
$48.77 - $81.51/hr
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 ...
$48.77 - $81.51/hr
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 ...
Starkville, MS · On-site
Nurse Auditor will be responsible for facility's communication and interactions with CMS, Recovery ... Registered Nurse License. 4. Relevant Experience in a hospital setting. 5. Strong knowledge of ...
Starkville, MS · On-site
Nurse Auditor will be responsible for facility's communication and interactions with CMS, Recovery ... Registered Nurse License. 4. Relevant Experience in a hospital setting. 5. Strong knowledge of ...
Charleston, SC · On-site
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 ...
Charleston, SC · On-site
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 ...
Starkville, MS · On-site
Nurse Auditor will be responsible for facility's communication and interactions with CMS, Recovery ... Registered Nurse License. 4. Relevant Experience in a hospital setting. 5. Strong knowledge of ...
Starkville, MS · On-site
Nurse Auditor will be responsible for facility's communication and interactions with CMS, Recovery ... Registered Nurse License. 4. Relevant Experience in a hospital setting. 5. Strong knowledge of ...
Garden City, NY · On-site
$87K/yr
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 ...
Garden City, NY · On-site
$87K/yr
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 ...
Charleston, SC · On-site
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 ...
Charleston, SC · On-site
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 ...
Charleston, SC · On-site
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 ...
Charleston, SC · On-site
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 ...
Job Title: Clinical Nurse Auditor - Payment Integrity Job Summary We are seeking an experienced ... This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified ...
Job Title: Clinical Nurse Auditor - Payment Integrity Job Summary We are seeking an experienced ... This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified ...
Job Title: Clinical Nurse Auditor - Payment Integrity Job Summary We are seeking an experienced ... This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified ...
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Job Title: Clinical Nurse Auditor - Payment Integrity Job Summary We are seeking an experienced ... This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified ...
Job Title: Clinical Nurse Auditor - Payment Integrity Job Summary We are seeking an experienced ... This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified ...
Job Title: Clinical Nurse Auditor - Payment Integrity Job Summary We are seeking an experienced ... This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified ...
Kerrville, TX · On-site
Seeking Experienced Quality Nurse Auditor... Apply Today. Our client is a non-profit, community ... To qualify, you must have a Bachelor's of Science in Nursing, an RN Texas license, and a minimum 3 ...
Kerrville, TX · On-site
Seeking Experienced Quality Nurse Auditor... Apply Today. Our client is a non-profit, community ... To qualify, you must have a Bachelor's of Science in Nursing, an RN Texas license, and a minimum 3 ...
Job Title: Clinical Nurse Auditor - Payment Integrity Job Summary We are seeking an experienced ... This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified ...
Job Title: Clinical Nurse Auditor - Payment Integrity Job Summary We are seeking an experienced ... This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified ...
Torrance, CA · On-site
$48.77 - $81.51/hr
Description 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 ...
Torrance, CA · On-site
$48.77 - $81.51/hr
Description 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 ...
Torrance, CA · On-site
$48.77 - $81.51/hr
Description 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 ...
Torrance, CA · On-site
$48.77 - $81.51/hr
Description 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 ...
Torrance, CA · On-site
$48.77 - $81.51/hr
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 ...
Torrance, CA · On-site
$48.77 - $81.51/hr
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 ...
Saint Joseph, MO · On-site +1
The Denials Nurse Auditor is responsible for completing, appealing, tracking, and reporting ... Registered Nurse (RN) - State Licensure/Or Compact State Licensure - Registered Nurse license by ...
Saint Joseph, MO · On-site +1
The Denials Nurse Auditor is responsible for completing, appealing, tracking, and reporting ... Registered Nurse (RN) - State Licensure/Or Compact State Licensure - Registered Nurse license by ...
Chesapeake, VA · On-site
$35.34/hr
The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions ... Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact ...
Chesapeake, VA · On-site
$35.34/hr
The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions ... Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact ...
Chesapeake, VA · On-site
$35.34/hr
The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions ... Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact ...
Chesapeake, VA · On-site
$35.34/hr
The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions ... Current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact ...
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 ...
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 ...
Camarillo, CA · On-site
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 ...
Camarillo, CA · On-site
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 ...
$19.71 - $22.16
6% of jobs
$22.16 - $24.61
6% of jobs
$24.61 - $27.05
3% of jobs
$28.63 is the 25th percentile. Wages below this are outliers.
$27.05 - $29.50
15% of jobs
$29.50 - $31.95
17% of jobs
The median wage is $32.28 / hr.
$31.95 - $34.40
23% of jobs
$35.27 is the 75th percentile. Wages above this are outliers.
$34.40 - $36.84
15% of jobs
$36.84 - $39.29
8% of jobs
$39.29 - $41.74
0% of jobs
$41.74 - $44.19
0% of jobs
$44.19 - $46.63
7% of jobs
$19
$32
$46
| Aspect | Rn Auditor | Rn |
|---|---|---|
| Certifications | RN license, Auditor certifications (e.g., CQPA) | RN license |
| Work Environment | Healthcare facilities, auditing settings | Hospitals, clinics, patient care settings |
| Job Focus | Auditing compliance, quality assurance | Patient care, clinical duties |
| Employer & Industry | Healthcare organizations, insurance companies | Hospitals, 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.

$48.77 - $81.51/hr
Other
Posted 21 days ago
8.5
Based on 39 frontline employees who took The Breakroom Quiz
48th of 995 rated hospitals
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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Health care and social assistance
5,001 - 10,000 Employees
Torrance, CA, US
1925