Nurse Auditor Salary
The average rate for a Nurse Auditor is $28.71 per hour. Pay for this job does not change much by experience, with the most experienced earning only a bit more than the least.
|Salary||$54,496 - $79,480|
|Total Pay (|
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).)
|$42,322 - $79,907|
|Hourly Rate||$18.52 - $38.43|
|Total Pay (||$42,322 - $79,907|
Job Description for Nurse Auditor
Nurse auditors are tasked with analyzing medical records for patients to determine whether the documentation correctly identifies the patient's quality of care, medical necessities, ability to pay insurance, and utilization of their stay.Read More...
Nurse auditors must ensure that patients have the proper medical care and treatment which is reflected by the correct documentation, and they must also ensure that this paperwork adheres to all charging practices and legal standards. This includes reviewing optimal billing methods, specific advice if care is denied, and understanding the appeal process. Nurse auditors work primarily in health care settings ranging from hospitals to urgent-care centers, and they work with a variety of hospital staff ranging from doctors and nurses to human resources (HR) and accounting.
An RN degree in nursing and at least two years of experience in auditing are generally required for this position. Shifts can vary greatly depending on the employer and location, but are typically long and may last up to twelve hours.
Nurse Auditor Tasks
- Performs audits to identify and resolve discrepancies on paid care accounts, patient billing accounts and other government accounts.
- Protect the hospital's financial interests by reviewing third party charges, grievances and other billing issues.
- Serve as clinical and financial consultant to patient accounts and hospital departments.
- Review and audit billing, reimbursements and internal documentation to ensure adherence to technical guidelines.
Pay by Experience Level for Nurse Auditor
Pay by Experience for a Nurse Auditor has a positive trend. An entry-level Nurse Auditor with less than 5 years of experience can expect to earn an average total compensation of $60,000 based on 23 salaries provided by anonymous users. Average total compensation includes tips, bonus, and overtime pay. A Nurse Auditor with mid-career experience which includes employees with 5 to 10 years of experience can expect to earn an average total compensation of $64,000 based on 16 salaries. An experienced Nurse Auditor which includes employees with 10 to 20 years of experience can expect to earn an average total compensation of $64,000 based on 12 salaries. A Nurse Auditor with late-career experience which includes employees with greater than 20 years of experience can expect to earn an average total compensation of $64,000 based on 17 salaries.
Key Stats for Nurse Auditor
Rated 5 out of 5
based on 4 votes.