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Healthcare & Clinical

Clinical Nurse Auditor

Full TimeOrtigasOn-sitePosted June 24, 2026

Review clinical documentation and claims for accuracy and compliance, working alongside AI-assisted audit tooling.

Responsibilities

  • Audit clinical records and claims for accuracy, completeness, and compliance.
  • Validate AI-flagged exceptions and document findings.
  • Collaborate with coding and RCM teams to reduce denials.

Qualifications

  • Registered Nurse with active license.
  • Experience in clinical auditing or utilization review.
  • Familiarity with HIPAA and healthcare compliance standards.

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