Ensemble Health Partners

Sr Auditor, Nursing

Ensemble Health Partners • $85K — $100K *
US-AnywhereRemote in United States
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of experience in nursing audit or a related field
  • Strong understanding of clinical and financial standards
  • Proven expertise in navigating complex healthcare audits
  • Experience mentoring or training junior staff
  • Excellent analytical and reporting skills
  • Ability to collaborate effectively with leadership

Responsibilities

  • Lead and execute complex audits of healthcare cases
  • Mentor and guide junior nursing auditors
  • Conduct reviews of high-risk claims and escalated findings
  • Collaborate with compliance teams on audit strategies
  • Prepare detailed reports and present findings to management
  • Identify systemic issues and propose actionable improvements
  • Analyze trends to enhance revenue cycle performance

Benefits

  • Mentorship and training opportunities
  • Collaboration with leadership and compliance teams
  • Impactful role in improving healthcare audit strategies
  • Opportunity to enhance revenue cycle performance
  • Exposure to complex cases and high-risk audits
Full Job Description
The Nursing Senior Auditor leads complex audits, mentors junior auditors, and ensures compliance with clinical and financial standards. The role enhances revenue cycle performance by identifying systemic issues and recommending improvements. 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.

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