Nurse Auditor I

Trend Health Partners

Nurse Auditor I at TREND Health Partners performing medical necessity reviews of clinical documentation. Ensuring compliance with policy, procedures, and guidelines while maintaining a high success rate in appeals.

Posted 7/1/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $65,000 - $75,000 per yearWebsite

About the role

Key responsibilities & impact

Independently audit clinical documentation to ensure consistent with billed services in a production environment
Apply clinical and industry guidelines, payer P&P, and use of in-depth knowledge that supports medically necessity of services rendered
Develop relationships with medical providers and health plans to confirm adherence to P&P, guidelines, and continuum of care.
Continually keep abreast of technology changes, regulatory issues, and medical practice through ongoing training and self-directed research and share with others, accordingly
Share ideas that offer process improvements and share with team for education.

Requirements

What you’ll need

An active RN or LPN professional license in good standing
5 years of clinical practice
Well-developed verbal and written communication skills coupled with recognizable organization
Ability to effectively prioritize tasks

Benefits

Comp & perks

competitive salaries
highly valued health insurance
a 401(k) plan with employer match
paid parental leave

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Clinical Documentation AuditingApplication Of Clinical GuidelinesKnowledge Of Payer PoliciesMedical Necessity AssessmentProcess Improvement

Soft Skills

Verbal CommunicationWritten CommunicationOrganizationRelationship BuildingPrioritization

Certifications

Active RN Or LPN License