Hospital Charge Audit Nurse Auditor RN Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities. Work Location: + Fully Remote - US Position: The Hospital Charge Audit Nurse Auditor RN will perform remote and onsite hospital charge audits of both inpatient and outpatient hospital claims as assigned. Audits are conducted as a medical record review of all billed charges to identify over, under and late charges; as well as ensure provider reimbursement is within client guidelines and policies. These are not DRG or medical necessity audits. Mandatory Travel throughout the United States: 25% travel should be assumed with overnight stays. Access to a major airport is required. Employee may live in any state. Depending on volume of work and employee location, required travel may be by car, air or both. Core Responsibilities: + Perform remote and onsite hospital bill charge audits as assigned while meeting department quality expectations + Manage case inventory to ensure timely scheduling of remote and onsite audits while maintaining weekly productivity goals + Ability to assess case details and provide input into audit potential of facilities & cases + Effectively interact and communicate with teammates & providers regarding all steps of the audit process. Some interaction with clients may occasionally be required as well. + Utilize nursing knowledge in conjunction with interpretation of the medical record to identify discrepancies in billed charges + Develop recommendations and possible solutions to resolve audit disputes that have resulted in incomplete audit closure + Other duties as requested Requirements: + Graduate of an accredited College or University + Current RN license + Two years of clinical experience in an acute care hospital + Two years medical claim review or experience as a utilization nurse + Experience in use of the electronic medical record (EMR) + Excellent organizational skills with a strong focus on attention to detail + Knowledge of acute hospital billing requirement including UB-04s, revenue codes, itemization of charges, CPT codes, HCPCS codes ICD 10 diagnosis and procedure codes Preferred Qualifications: + BSN preferred + Two years hospital charge audit experience + Medical coding credentials + Operating room, ICU experience + Ability to self-schedule for audits and travel Working Conditions/Physical Requirements: General office demands Travel: + Mandatory Travel throughout the United States: 25% travel should be assumed with overnight stays. Access to a major airport is required. Employee may live in any state. Depending on volume of work and employee location, required travel may be by car, air or both + Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement. Unique Benefits : + Flexible work environments + Ready, Set, Grow Career Development Center & access to Change Healthcare University for continuous professional learning & development with more than 5,000 training assets + Volunteer days, employee giving and matching gifts programs, community awards and dollars for doers, community partnerships + Employee wellbeing programs and generous health plans + Educational assistance programs + US 401(k) or Group RRSP (Canada) savings plans with matching employer contributions + Be sure to ask our Talent Advisors for more information on location specific benefits and paid time off policies + Learn more at + Eligibility for some benefits may be limited or not available for part-time employees, be sure to speak with your Talent Advisor. Diversity and Inclusion: + At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships. + Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at Feeling Inspired? Ready to ? Apply today! Diversity and Inclusion: At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at Feeling Inspired? Ready to ? Apply today! COVID Vaccination Requirements We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and, when j ob-related and consistent with business necessity , we may require periodic testing for certain roles. Some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Equal Opportunity/Affirmative Action Statement Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at and the supplemental information at _EEO_Supplement_Final_JRF_QA_508c.pdf. If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted. Click here _ English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy. California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare's Privacy Notice to California Job Applicants Regarding the Collection of Personal Information () . Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws. Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.