Job Description

We are seeking a detail-oriented Registered Nurse (RN) Auditor to support revenue integrity efforts with a focus on charge audit and billing validation. In this role, you will review medical records and itemized bills to ensure charges are accurate, properly documented, and compliant with payer and regulatory requirements. Your work will help reduce financial risk, prevent denials, and strengthen accurate, defensible billing practices while supporting overall revenue and compliance goals.

Key Responsibilities

Charge Audit & Billing Validation (Primary Focus)

• Perform comprehensive charge audits for inpatient and outpatient services.
• Review itemized billing statements against medical records to verify accuracy and completeness.
• Identify and document:
• Validate charges based on clinical documentation, coding rules, and billing guidelines.
• Ensure all billing aligns with:
• Submit clear, actionable audit findings to revenue cycle teams for correction and rebilling.

Audit Analysis & Documentation

• 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.

Collaboration & Education

• Partner with:
• Provide guidance on:
• Support education efforts to prevent recurring audit issues.

Required Qualifications

• Active Registered Nurse (RN) license or LPN license
• 5+ years of clinical nursing experience (ICU, ED, OR, or acute care preferred)
• Experience performing:
• Strong understanding of: Medical record documentation & Hospital billing processes

Technical Knowledge & Skills

• Knowledge of:
• Familiarity with:
• Ability to:
• Experience using:

Core Competencies

• Strong analytical and critical thinking skills
• High attention to detail and accuracy
• Ability to work independently and manage priorities
• Clear and professional written and verbal communication
• Ability to translate complex findings into actionable insights

Preferred Experience

• Prior experience in:
• Familiarity with:
• Experience educating staff or supporting process improvements

About UASI

UASI is the employer of choice due to our outstanding reputation for excellence within the industry and for our comprehensive benefit package which includes:

• 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