Location & Practice Overview

This Nurse Auditor role supports the Regulatory Reimbursement and Reporting function at LifeBridge Health and is linked to Sinai Hospital of Baltimore. The position is structured as primarily remote, with approved residency in Illinois and a defined list of other states.

Facility Affiliation Sinai Hospital of Baltimore
Department Regulatory Reimbursement and Reporting (RRR)
Care Setting Context Inpatient and outpatient hospital services
Practice Model System-level revenue integrity and compliance support
Geographic Scope Primarily remote; Illinois residency permitted

Responsibilities

  • Conduct clinical and revenue integrity audits of inpatient and outpatient services to verify documentation supports accurate charge capture.
  • Review medical records against charging information to identify discrepancies, missed revenue opportunities, and areas needing operational correction.
  • Support Recovery Audit Coordinator efforts by preparing clinical documentation for appeals and responding to potential reimbursement reductions.
  • Collaborate with HIM, CDI, Coding, Pharmacy, Patient Financial Services, and departmental leaders on documentation integrity and charging practices.
  • Contribute clinical input to Charge Description Master reviews and help evaluate consistency of charge-related information.
  • Analyze audit findings, identify recurring documentation or reimbursement issues, and assist in preparing related reports.

The role centers on applying nursing knowledge to connect clinical documentation with accurate reimbursement and regulatory compliance rather than direct patient care.

Qualifications & Requirements

Candidates must hold an active Registered Nurse license and meet the educational and certification standards listed below. Related experience in revenue-cycle or documentation areas is preferred.

Education
Nursing degree required
Licensure
Current Maryland RN license or eligibility to obtain Maryland licensure
Certification
American Heart Association Basic Life Support (BLS) CPR
Experience Level
1–3 years overall; at least two years preferred in Revenue Integrity, Clinical Auditing, CDI, HIM/Coding, Utilization Review, Case Management, or Hospital Billing
Residency Requirement
Must reside in an approved state (includes Illinois)

Compensation & Benefits

Hourly pay is experience-based within the published range. Benefits begin according to the employer’s standard eligibility timelines.

  • Hourly rate: $40.12–$62.94 based on experience
  • Medical, dental, and vision coverage beginning the first of the month following hire
  • 403(b) retirement savings plan with employer contributions or matching per plan provisions
  • Tuition reimbursement up to $5,000 annually for qualifying nursing courses and up to $3,500 for non-nursing courses
  • Life insurance, disability insurance, paid time off, and paid holidays
  • Wellness programs, mental health support, and fitness discounts

Schedule & Work Environment

Employment Type Full-Time
Daily Hours 8:00 AM – 4:30 PM
Work Arrangement Primarily remote
Collaboration Mode Cross-functional virtual and system-level coordination
Onsite Expectation Frequency of any required onsite attendance not specified

Patient Population & Clinical Setting

The Nurse Auditor does not provide direct bedside care. Work involves retrospective and concurrent review of records from patients treated across Sinai Hospital’s inpatient and outpatient services, including those requiring acute and specialized hospital-based care.

Care Continuum Inpatient and outpatient hospital encounters
Clinical Environment Academic medical center with Level II Trauma designation
Service Mix Acute care, emergency, trauma, specialized pediatric, and other hospital-based services
Review Scope Medical records reflecting documented clinical services across the health system

Clinical Focus & Key Services

The professional core of this role is the application of nursing expertise to revenue integrity, documentation accuracy, and regulatory reimbursement processes rather than direct treatment delivery.

Primary Focus Clinical documentation review supporting accurate representation of services provided
Revenue Integrity Charge capture validation and identification of missed or incorrect charging practices
Compliance Support Evaluation of documentation and charging against applicable reimbursement and regulatory requirements
Appeals Contribution Clinical analysis of disputed findings to protect appropriate reimbursement

Role Highlights

This position offers a structured pathway for experienced nurses to move from bedside practice into specialized hospital revenue and compliance operations.

  • Primarily remote structure with residency allowed in Illinois and multiple other states
  • Direct application of clinical nursing knowledge to Charge Description Master support and recovery audit appeals
  • System-level collaboration across HIM, CDI, Coding, Pharmacy, and Patient Financial Services without routine direct patient care
  • Focus on protecting organizational revenue while strengthening documentation and regulatory readiness

About LifeBridge Health, Inc.

LifeBridge Health is a regional healthcare system serving communities throughout Maryland and the surrounding Mid-Atlantic region. It operates a network of hospitals, outpatient services, and community-based facilities. Sinai Hospital of Baltimore, one of its major medical centers, functions as an academic medical center and Level II Trauma Center with 483 beds and provides training for more than 140 residents and 400 medical students annually.

Organization Type Regional nonprofit health system
Flagship Facility Sinai Hospital of Baltimore
Service Footprint Acute care, emergency, trauma, specialized pediatric, rehabilitation, and community services
Academic Role Teaching hospital with extensive graduate medical education programs
Geographic Reach Greater Baltimore and Mid-Atlantic region

Frequently Asked Questions

Does this role require Maryland RN licensure even if I live in Illinois?
Yes. A current Maryland RN license or eligibility to obtain Maryland licensure is required. Candidates licensed in another state may pursue endorsement through the Maryland Board of Nursing.
Is any onsite attendance expected for this primarily remote position?
The posting describes the role as primarily remote. The exact frequency of any required onsite attendance, if applicable, is not specified and should be confirmed with the employer during the process.
Can nurses without prior revenue integrity experience still be considered?
Clinical nursing experience combined with an understanding of hospital documentation or healthcare operations is relevant. At least two years in revenue integrity, CDI, coding, utilization review, case management, or related areas is preferred rather than strictly mandatory.
What states are approved for remote work residency?
Approved states include AK, AZ, AR, FL, GA, ID, IL, LA, MD, MS, MT, NE, NC, OK, PA, SC, SD, TN, TX, UT, VA, WV, WI, and WY. Illinois is explicitly listed.
How does this position differ from traditional bedside nursing?
The focus is on reviewing clinical documentation, evaluating charge capture accuracy, supporting compliance audits, and contributing to reimbursement integrity rather than providing routine direct patient care.
Is a coding certification required?
No specific coding or EHR certification is listed as mandatory. Clinical knowledge and preferred experience in related documentation or revenue areas are the primary professional expectations.

Remote Nurse Auditor Career Opportunity in Chicago, IL

Registered nurses exploring Nurse Auditor jobs in Chicago, IL, may find this primarily remote opportunity with LifeBridge Health relevant to their career goals. The position offers an alternative to traditional bedside nursing for professionals interested in applying hospital-based clinical experience to healthcare reimbursement and revenue cycle operations. Nurses with backgrounds in acute care, utilization review, case management, or clinical documentation can explore how their existing knowledge translates into a specialized non-bedside career. Illinois is among the approved states for remote employment, making this opportunity relevant to qualified nursing professionals seeking remote healthcare positions in the Chicago area.

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