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Rn Auditor Jobs (NOW HIRING)

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 the Clinical Appeals Manager. This role is responsible for conducting clinical reviews of payer audit ...

Jzanus Consulting

Nurse Auditor

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 ...

ProKatchers LLC

RN Auditor

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 ...

ProKatchers LLC

RN Auditor

Camarillo, CA

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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How much do rn auditor jobs pay per hour?

As of Jul 7, 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.

How do you become a nurse auditor?

To become a nurse auditor, you typically need a registered nurse (RN) license and experience in healthcare or medical billing. Many employers prefer candidates with knowledge of healthcare regulations, coding, and auditing procedures, and some may require certification such as the Certified Healthcare Auditor (CHA).

What is an RN auditor?

An RN auditor is a registered nurse who reviews and evaluates medical records, billing, and documentation to ensure compliance with healthcare regulations and insurance requirements. They often work in healthcare facilities, insurance companies, or auditing firms, utilizing clinical knowledge and attention to detail to identify errors or discrepancies. Certification in auditing or coding may be required, and the role typically involves working regular hours in an office or healthcare setting.

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, or obtaining advanced degrees like a nurse practitioner can also boost earning potential.

What is the role of the nurse in auditing?

An RN auditor reviews healthcare documentation, patient records, and billing information to ensure compliance with regulations and accuracy. They assess clinical documentation for completeness and correctness, often using electronic health record systems, to support accurate billing and quality assurance.

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.
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Rn Auditor jobs near you
Infographic showing various Rn Auditor job openings in the United States as of July 2026, with employment types broken down into 2% Locum Tenens, 82% Full Time, 13% Part Time, 2% Contract, and 1% Nights. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $68,617 per year, or $33 per hour.
RN Nurse Auditor

RN Nurse Auditor

Medical University of South Carolina

Charleston, SC

Full-time

Re-posted 11 days ago

Job description

Job 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 determinations, identifying improper denials, and preparing detailed appeals that support the validity of charges and medical necessity of services rendered. Utilizing strong clinical judgment, in-depth knowledge of payer policies, and regulatory compliance standards, the RN Nurse Auditor advocates for appropriate reimbursement and contributes to the financial health of the organization.

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC005031 SYS - Revenue Cycle Middleware

Pay Rate Type

Salary

Pay Grade

Health-28

Scheduled Weekly Hours

40

Work Shift

Job Description

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 determinations, identifying improper denials, and preparing detailed appeals that support the validity of charges and medical necessity of services rendered. Utilizing strong clinical judgment, in-depth knowledge of payer policies, and regulatory compliance standards, the RN Nurse Auditor advocates for appropriate reimbursement and contributes to the financial health of the organization.
The RN Nurse Auditor also identifies denial trends, conducts root cause analysis, and produces actionable reports to drive continuous improvement across Revenue Cycle operations. The role collaborates with Hospital Patient Accounting, Revenue Integrity, Case Management, Utilization Review, Compliance, and clinical departments to mitigate denial risks, provide education, and ensure clinical documentation supports reimbursement integrity.

Additional Job Description

Education: Bachelor's degree in Nursing from an accredited school of nursing and a minimum of three years related nursing experience required. Demonstrated knowledge of payer reimbursement for both governmental and managed care payers required. Excellent written and verbal communication skills necessary. Credentials: Licensure as a Registered Nurse by the South Carolina Board of Nursing or compact state required. Current American Heart Association (AHA) Basic Life Support (BLS) certification or American Red Cross BLS for Healthcare Providers certification is required.

Physical Requirements: Ability to perform job functions while standing. (Continuous) Ability to perform job functions while sitting. (Continuous) Ability to perform job functions while walking. (Continuous) Ability to climb stairs. (Infrequent) Ability to work indoors. (Continuous) Ability to work outside in temperature extremes. (Infrequent) Ability to work from elevated areas. (Frequent) Ability to work in confined/cramped spaces. (Frequent) Ability to perform job functions from kneeling positions. (Infrequent) Ability to bend at the waist. (Continuous) Ability to twist at the waist. (Frequent) Ability to squat and perform job functions. (Frequent) Ability to perform "pinching" operations. (Frequent) Ability to perform gross motor activities with fingers and hands. (Continuous) Ability to perform firm grasping with fingers and hands. (Continuous) Ability to perform fine manipulation with fingers and hands. (Continuous) Ability to reach overhead. (Frequent) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Continuous) Ability to fully use both legs. (Continuous) Ability to use lower extremities for balance and coordination. (Frequent) Ability to reach in all directions. (Continuous) Ability to lift and carry 50 lbs. unassisted. (Infrequent) Ability to lift/lower objects 50 lbs. from/to floor from/to 36 inches unassisted. (Infrequent) Ability to lift from 36" to overhead 25 lbs. (Infrequent) Ability to exert up to 50 lbs. of force. (Frequent) Examples include: To transfer a 100 lb. patient that can not assist in the transfer requires 50 lbs. of force. For every 100 additional pounds, assistance will be required from another healthcare worker. 20 lbs. of force is needed to push a 400 lb. patient in a wheelchair on carpet. 25 lbs. of force is required to push a stretcher with a patient with one hand. Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous) Ability to see and recognize objects close at hand or at a distance. (Continuous) Ability to match or discriminate between colors. (Continuous) Ability to determine distance/relationship between objects; depth perception. (Continuous) Good peripheral vision capabilities. (Continuous) Ability to maintain hearing acuity, with correction. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) Ability to deal effectively with stressful situations. (Continuous) Ability to work rotating shifts. (Frequent) Ability to work overtime as required. (Frequent) Ability to work in a latex safe environment. (Continuous) Ability to maintain tactile sensory functions. (Continuous) (Selected Positions) *Ability to maintain good olfactory sensory function. (Continuous) *(Selected Positions) *Ability to be qualified physically for respirator use, initially and as required. (Continuous) (Selected Positions)

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees

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