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Nurse Auditor
Affordable Housing Trust for Columbus and Franklin CountyNurse Auditor reviewing medical records and ensuring billing accuracy at UASI. Collaborating across departments to support revenue integrity and compliance goals.
About the role
Key responsibilities & impact- Perform comprehensive charge audits for inpatient and outpatient services.
- Review itemized billing statements against medical records to verify accuracy and completeness.
- Identify and document:
- Missing charges
- Duplicate charges
- Unsupported or non-compliant charges
- Validate charges based on clinical documentation, coding rules, and billing guidelines.
- Ensure all billing aligns with:
- CMS and payer requirements
- National healthcare billing audit guidelines
- Organizational compliance standards
- Submit clear, actionable audit findings to revenue cycle teams for correction and rebilling.
- Analyze audit findings to determine root causes and patterns.
- Maintain accurate audit documentation that is clear, traceable, and defensible.
- Track audit outcomes and financial impact.
- Assist in developing recommendations to improve charge capture accuracy and billing processes.
- Partner with:
- Coding and billing teams
- Clinical departments
- Revenue cycle leadership
- Provide guidance on:
- Documentation requirements
- Charge capture practices
- Billing compliance standards
- Support education efforts to prevent recurring audit issues.
Requirements
What you’ll need- Active Registered Nurse (RN) license or LPN license
- 5+ years of clinical nursing experience (ICU, ED, OR, or acute care preferred)
- Experience performing:
- Charge audits
- Chart reviews
- Billing validation
- Strong understanding of: Medical record documentation & Hospital billing processes
- Knowledge of:
- CPT, HCPCS, ICD-10 coding basics
- Revenue codes and charge capture processes
- Inpatient and outpatient billing rules
- Familiarity with:
- Medicare, Medicaid, and commercial payer billing guidelines
- CMS regulations and compliance expectations
- Ability to:
- Interpret itemized bills, clinical documentation, and diagnostic reports
- Identify discrepancies and determine correct billing practices
- Experience using:
- EHR systems (Epic, Cerner, Meditech)
- Audit or billing tools/data systems
Benefits
Comp & perks- Medical, dental, vision and life insurance, short/long-term disability, 401(K) and referral bonuses
- Training opportunities and reimbursement for professional certifications
- UASI's unique approach to employee appreciation which include: birthday recognition, holiday gift selections, performance awards, and years of service awards
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
charge auditsbilling validationchart reviewsmedical record documentationCPT codingHCPCS codingICD-10 codingrevenue codescharge capture processesbilling compliance
Soft Skills
analytical skillsattention to detailcommunicationcollaborationproblem-solvingguidanceeducation support
Certifications
Registered Nurse (RN) licenseLicensed Practical Nurse (LPN) license