RN​/LPN, Nurse Auditor

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems.

• Perform charge audits and potential client assessments as assigned.
• Resolve incorrect or missing charges to prevent revenue loss and ensure compliance requirements are met.
• Identify documentation gaps to support charges captured and provide recommendations for improvement.
• Conduct regular audits to identify opportunities for missing revenue and report findings to management.
• Apply clinical knowledge to educate stakeholders on documentation and charge capture standards.
• Review injection & infusion work queues in Epic and resolve pre‑bill and post‑bill errors identified by Opera Solutions software.
• Support the organization in achieving its financial goals.
• Travel to client sites as needed to conduct assessments and provide education and training related to audit findings.
• Respond to clients’ audit requests in a timely manner.
• Meet or exceed department productivity and quality standards.
• Review CMS, OIG, and other government websites to stay abreast of charge capture guidelines and their impact on revenue.

• Current RN or LPN licensure.
• Strong organizational skills.
• Highly motivated, self‑starter with ability to meet time constraints and deadlines.
• Ability to thrive in a dynamic, fast‑paced work environment.
• Experience in physician and hospital operations, compliance and provider relations.

• Working knowledge of CPT/HCPCS/revenue codes, charge capture and billing best practices, and government and non‑government reimbursement guidelines.

• Candidate must hold or be able to obtain at least one of the following professional certifications: CCDI (Certified Clinical Documentation Improvement), CCS (Certified Coding Specialist), RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), COC (Certified Outpatient Coder), PMP (Project Management Professional), CPMA (Certified Professional Medical Auditor).

Ensemble is an equal employment opportunity employer. Ensemble has a policy of not discriminating against any applicant or employee on the basis of race, color, sex, sexual orientation, gender or gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other protected class under applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, contact