Nursing Audit Specialist (contract)

We are looking for a Nursing Audit Specialist to support a health system in Dallas, Texas through a Long-term Contract assignment. This role is ideal for a registered nurse with coding expertise who can evaluate medical records for documentation quality, coding accuracy, compliance alignment, and reimbursement integrity across hospital-based settings. The position will work closely with clinical, coding, and operational partners to identify audit findings, reduce risk, and strengthen documentation and billing practices.

This is a 6-12 month contract assignment.

100% REMOTE

Must be licensed RN

Must have CCS Certification (Certified Coding Specialist)

Must have clinical background

Responsibilities:

• Conduct thorough reviews of inpatient and outpatient medical records to assess clinical appropriateness, completeness of documentation, and accuracy of coded data.

• Examine records for alignment with reimbursement rules, payer expectations, and applicable state and federal compliance standards.

• Identify patterns, discrepancies, and areas of exposure, then translate findings into practical recommendations for process improvement.

• Partner with nursing, coding, clinical documentation, and operational teams to address audit outcomes and support corrective action plans.

• Provide education and feedback to providers and internal stakeholders to improve documentation integrity and coding compliance.

• Evaluate medical necessity and documentation sufficiency using clinical judgment, coding guidance, and regulatory criteria.

• Prepare clear audit summaries, trend analyses, and reporting materials for leadership and relevant business partners.

• Use electronic medical record systems and reporting tools to track audit activity, support analysis, and maintain accurate records of findings.

• Active Registered Nurse credential with experience in hospital or health system environments.

• Certification in coding, auditing, clinical documentation, or health information management is strongly preferred.

• Demonstrated background in coding audits, documentation review, and healthcare compliance evaluation.

• Strong understanding of inpatient and outpatient coding principles, payer requirements, and reimbursement practices.

• Ability to interpret clinical records, coding guidelines, and regulatory standards with a high level of accuracy and critical thinking.

• Experience collaborating with cross-functional healthcare stakeholders, including clinical, coding, and operations teams.

• Proficiency with Epic EMR and Microsoft Excel.

• Exposure to fee billing, risk adjustment, or clinical documentation integrity workflows is a plus.

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