Sr Auditor, Nursing
Core
Leads complex audits of high-risk claims, identifies systemic issues, and ensures compliance with clinical and financial standards to enhance revenue cycle performance.
Role type
Senior IC nursing auditor (revenue cycle)
Builds
Audit reports and process improvement recommendations for healthcare clients
Domain
Healthcare revenue cycle management
Deliverable
production ML models | dashboards & analysis | client delivery
Required skills
complex case auditing, high-risk claim review, mentorship, compliance analysis, strategic collaboration, trend identification, process improvement, reporting, presentation
Preferred skills
professional certification in auditing or healthcare finance
Technologies
revenue cycle management systems
Responsibilities
Leads audits of complex cases and high-risk claims; Reviews escalated audit findings and provides expert guidance; Mentors and trains junior nursing auditors; Collaborates with compliance and revenue cycle leadership on audit strategies; Prepares comprehensive reports and presents findings to senior management; Identifies trends and recommends process improvements to reduce risk.