RN Nurse Auditor with Insurance Exp in Houston, TX

We are seeking an experienced RN Nurse Auditor to support a high-impact revenue cycle and payer audit function in the Houston, Texas area. This role is ideal for a Registered Nurse with strong insurance audit, denials management, billing compliance, and charge capture knowledge who can confidently review clinical documentation, respond to payer inquiries, and advocate for accurate reimbursement. Located near the Memorial and Galleria corridor in Houston, TX 77024, this opportunity offers access to a dynamic healthcare market. Houston is home to a strong healthcare community, and the 77024 area is a well-connected professional hub with convenient access to major business and medical centers. This is a 26-week assignment role with a remote/work-from-home arrangement that may include on-site alignment or presence in Houston based on business needs.

Job Details

• Weekly Estimated Pay: $5,250-$6,230
• Start Date: 6/29/2026
• Duration: 26 weeks
• Schedule: 5 shifts per week
• Shift Duration: 8-hour days
• Hours: Approximately 40 hours per week
• Work Setting: Remote/work-from-home role with on-site alignment in Houston, Texas as needed, offering connection to the area's thriving healthcare community and the well-connected 77024 professional area
• Employment Type: Remote

RN Nurse Auditor Job Requirements

• Experience in RN auditing, revenue cycle, denials management, or insurance payer audit work preferred
• Active Registered Nurse (RN) license in good standing
• Strong knowledge of insurance payer audits, claim denials, billing compliance, and charge capture validation
• Ability to review clinical documentation and connect it to billing, coding, and reimbursement outcomes
• Experience communicating directly with insurance carriers regarding audit findings and denial rationale
• Strong analytical, written, and verbal communication skills
• Ability to work independently and manage fluctuating audit volumes and deadlines

Responsibilities

• Manage insurance payer audits and denials review activities
• Analyze claims, charges, and supporting documentation for billing compliance and reimbursement accuracy
• Validate charge capture and identify documentation needed to support claims
• Prepare responses to payer audit requests within required turnaround times
• Represent the healthcare team professionally during payer audit reviews and discussions
• Interpret denial rationale and develop effective dispute or appeal responses
• Collaborate with internal stakeholders to resolve audit issues and support compliant billing practices
• Monitor workload priorities as audit volume changes and maintain timely follow-up on open cases

Apply now to join a healthcare team supporting Houston, Texas operations and put your RN audit and revenue cycle expertise to work.

Benefits

401K with Matching, Healthcare, Dental and Vision

Equal Opportunity

We are an equal opportunity employer and value diversity across our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.