[Hiring] Nurse Auditor @Ensemble Health Partners

Role Description

The Nurse Auditor reviews medical records to ensure accuracy, compliance, and appropriate billing within the revenue cycle. The role supports financial integrity by:

• Validating clinical documentation against coding and reimbursement guidelines.
• Reviewing patient charts and medical records for accuracy and completeness.
• Identifying discrepancies in medical necessity, documentation, or coding.
• Preparing audit findings and communicating results to providers and revenue cycle staff.
• Collaborating with clinical and billing teams to resolve identified issues.
• Ensuring compliance with payer requirements and regulatory standards.

Qualifications

• Experience in medical auditing or related field.
• Knowledge of coding and billing requirements.
• Strong analytical and communication skills.

Requirements

• Must reside and be authorized to work within the United States.
• Ability to provide reasonable accommodations in accordance with the Americans with Disabilities Act.

Benefits

• Comprehensive benefits package supporting physical, emotional, and financial health.
• Professional development opportunities including certification and tuition reimbursement.
• Quarterly and annual incentive programs for exceptional performance.