Registered Nurse-Clinical Auditor Sr

UnityPoint Health West Des Moines, IA, US

Area of Interest: Nursing
FTE/Hours per pay period: 1.0
Department: Internal Audit
Shift: Monday-Friday, standard business hours
Job ID: 179211

Overview

UnityPoint Health is hiring an RN Senior Clinical Auditor! This position assumes the lead role in planning, organizing and conducting clinical compliance and operational audits of various functions, departments and/or activities of UnityPoint Health (UPH) and its affiliates. Candidates can expect to identify and evaluate clinical areas of vulnerability and regulatory risk and collaborate with UPH Management to strengthen the internal control environment and improve clinical documentation and reimbursement.

Hours: Monday-Friday, standard business hours

Location: Remote - applicants preferably reside within the UPH footprint of Iowa, Illinois, or Wisconsin

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options focused on your needs and priorities, no matter what life stage you’re in. Here are just a few:    

Expect paid time off, parental leave, 401K matching and an employee recognition program.
Dental, health and vision insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.  

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Join our team of experts and make a difference with UnityPoint Health.

Responsibilities

Clinical Documentation & Coding Auditing:

Demonstrates knowledge of basic audit skills and adheres to Internal Audit Standards and UPH Internal Audit policies and methodologies.
Utilize system software to efficiently research, document and test areas of risk.
Validate diagnosis and procedure codes assigned are adequately supported by documentation in the medical record.
Regularly researches and utilizes outside resources to maintain and update knowledge of trending risks and best practices within the healthcare industry.
Communicates audit test results and collaborates with UPH Management to identify effective action plans to address audit findings; follows up with UPH Management to ensure action plans are implemented timely.

Improvement:

Researches and develops appropriate audit programs and testing procedures that address compliance with clinical documentation requirements, coding, billing and other regulatory issues.
Assesses clinical documentation, coding and billing practices for compliance with regulations of federal and state agencies and third party payers; develops sound conclusions supported by audit evidence; identifies opportunities to improve compliance and operating efficiency.
Works with management to improve UPH staff education, compliance and controls related to clinical documentation, coding, billing and other regulatory issues.
Assists Internal Audit Management with research and/or risk interviews during the annual risk assessment. Provides input on the preparation of the annual Audit Plan.
Participates in establishing and preparing departmental goals, standards, procedures and instructions which contribute to the efficiency and effectiveness of the department.

Projects:

Works collaboratively with other staff members to ensure optimal team functionality.
Provides status reports on a regular basis for assigned projects.
Maintains a high level of independence and objectivity.
Performs special audit assignments and investigations as required.

Qualifications

Education:

BSN - Bachelor's degree in nursing
Current RN license required

Experience:

Minimum of five years audit and/or clinical chart review experience with a healthcare organization or insurance company. Experience should be related to one or more of the following: coding, billing, proper documentation, medical necessity, and/or reimbursement
Working knowledge and experience with medical terminology, patient care services, medical record chart documentation (inpatient and outpatient), ICD-9 and ICD-10 diagnostic and CPT procedural coding
Experience with medical coding and/or medical records documentation audits is preferred
Familiarity with the Epic electronic medical records platform preferred

Share this job

Related Jobs

Full-time

1 month ago

Registered Nurse

WesleyLife Indianola, IA

Join WesleyLife and Help Revolutionize the Aging Experience! Our beautiful campus is currently undergoing exciting renovations, and while you’ll be part of the transformation, you’ll also be helping shape a refreshed, sparkling environment designed to elevate the resident experience. Think of it as being part of a “before and after” story—where you’re the heart of the “during. Job Duties: Registered Nurse Conduct comprehensive assessments of residents' health conditions, including vital signs, and develop individualized care plans. Administer medications and treatments as prescribed, ensuring accurate documentation and monitoring for side effects. Provide direct nursing care, such as wound care, IV therapy, and catheter management. Collaborate with the healthcare team to coordinate and optimize resident care, including communicating with physicians and families. Supervise and support CNAs and other healthcare staff, providing guidance and training as needed. Ensure compliance with healthcare regulations and infection control protocols to maintain a safe environment for residents. Offer emotional support and education to residents and their families, promoting overall well-being and understanding of care plans. Open Shifts Available: 1st shift, Full-time, 12 hour shifts Rotating Weekends 2nd shift Full-Time, 8 hour shifts Rotating Weekends 3rd shift, Full-time, 12 hour shifts Rotating Weekends Limited weekend on call rotations Qualifications: Compassionate, dependable, and motivated to serve others Strong communication and teamwork abilities State of Iowa RN license Community Location: 1203 N E St, Indianola, IA 50125 What We Offer The starting pay rate will be based on years of experience with a $5,000 sign-on bonus! Flexible Scheduling: We work with your needs and schedule Shift Differentials for 2nd, 3rd, and weekend packages Comprehensive Benefits Package: Including health care, vision, dental, and 401(k). Free wellness center memberships and cash incentives for healthy habits Voluntary benefits including life, accident, and critical illness coverage Scholarship Assistance, Educational Discounts & Tuition Reimbursement Ready to make a difference? Apply today! WesleyLife is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all team members. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. As part of your pre-hire screening process you will be required to complete a pre-hire health assessment and 4 panel drug screen. #PR1

Director of Nursing

Full-time

1 month ago

Assistant Director of Nursing (ADON), RN

WesleyLife Indianola, IA

Why Work at WesleyLife? At WesleyLife, we’re not just a workplace—we’re a community that values your growth, well-being, and happiness. With over 78 years of excellence in senior living, we believe in empowering our team members to make a difference while enjoying a fulfilling, supportive, and rewarding work environment. The Village embodies a connected community where residents experience a seamless blend of independent, assisted, memory support, long-term care, and short-term rehabilitation services all under one roof. Our holistic approach to health focuses on mind, body, and spirit through vibrant programming. The Village offers a home-like environment with easy access and a commitment to personalized care. Whether for independent living, assisted living, memory care, or skilled rehabilitation, The Village provides a supportive community where every resident can live life their way. A Typical Day for a Assistant Director of Nursing (ADON) with The Village: Collaborate with the Director of Nursing (DON) for overall nursing leadership within our 54-bed Health Center. Evaluate the quality of resident care, monitor compliance with current laws, process improvements and assist in implementing best practices. Orienting, training and supervision of team members. Assist in resident evaluations, and serve as a liaison for team member shift transitions. Participate in surveys and inspections by various government agencies and more! What We Offer You: Competitive Comp Package Comprehensive Benefits Package: Including health care, vision, dental, and 401(k). Free wellness center memberships and cash incentives for healthy habits Voluntary benefits including life, accident, and critical illness coverage Scholarship Assistance, Educational Discounts & Tuition Reimbursement WesleyLife has been certified as one of Senior Care’s Best Places to Work! We’re excited to meet people who share our passion for service, wellness, and community. WesleyLife is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all team members. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. As part of your pre-hire screening process you will be required to complete a pre-hire health assessment and 4 panel drug screen. #PR1

Outpatient

Full-time

2 months ago

Registered Nurse

DaVita Kidney Care Ankeny, IA

Posting Date 04/10/2026 2625 N Ankeny Blvd, Ankeny, Iowa, 50023, United States of America LOCATED IN ANKENY NO SUNDAY WORK NO NIGHTS DaVita is seeking a Registered Nurse to join our outpatient dialysis team. In this role, you'll provide life-saving care to patients with end-stage renal disease or chronic kidney conditions. No dialysis experience required—just a commitment to compassionate, high-quality care. . Responsibilities: Deliver direct patient care in an outpatient dialysis setting Monitor patients, manage treatment plans, and respond to health changes Collaborate with a supportive clinical team, including Patient Care Technicians Educate patients and families on kidney health and treatment options Float to nearby clinics as needed; flexible schedule required What to Expect: Fast-paced, hands-on environment Long-term patient relationships Broad nursing skill application with medically complex patients Paid training provided Schedule: Flexible shifts including mornings, evenings, weekends, and holidays Training may occur at a clinic other than your home location Qualifications: RN license in the state of practice ADN required; BSN preferred Basic computer proficiency Reliable transportation for potential floating Preferred (Not Required): Experience in ICU, CCU, ER, or Med Surg CNN/CDN certification Benefits: Medical, dental, vision, and 401(k) match Paid time off and PTO cash-out Family support: EAP, Headspace, parental leave, backup child/elder care Career growth and tuition support Join DaVita and help patients live better, healthier lives. Apply today. #LI-KOG At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

Full-time

3 days ago

Registered Nurse (RN) Days

Care Initiatives Pleasant Hill, IA

Parkridge Specialty Care , a 90-bed long-term care skilled nursing community located in Pleasant Hill, IA, is now hiring! Join a quality focused team recognized with a Bronze Quality Award, 4-star Quality Measure Rating, and excellent Annual State Survey Results consistently below state and national averages. Registered Nurse (RN) Shifts Available: Full-Time, 6am to 6pm, Monday, Tuesdays, and Wednesdays Competitive Wage + Shift Differentials Make a Difference Every Day – Join Care Initiatives as a Registered Nurse! Join our compassionate care team across more than 40 skilled nursing communities throughout Iowa. If you're a dedicated and empathetic caregiver looking to make a meaningful impact on the lives of others during their healthcare journey, this is your opportunity to shine. What You’ll Do & Key Responsibilities Provide direct, compassionate nursing care to residents in a skilled nursing environment. Support daily clinical operations on the unit, ensuring quality care and resident safety. Administer medications and treatments accurately and on time. Monitor resident conditions and respond promptly to changes in status. Collaborate with CNA, LPN, provider, and other interdisciplinary team members to promote teamwork and high-quality care. Communicate effectively with residents and families regarding care needs. Document care accurately to meet clinical, regulatory, and facility standards. Follow infection control, safety, and compliance protocols at all times. Qualifications Valid RN license in good standing. License must be valid within the state of Iowa, or ability to activate. Current, valid CPR Certification. Knowledge of federal and state long-term care regulations and laws. A strong commitment to helping others and consistently treating them with empathy, respect, patience, and discretion. Why Join Care Initiatives? Competitive Compensation: Earn a highly competitive wage + shift differentials. Comprehensive Benefits: Eligible employees enjoy robust benefit options including medical, dental, vision, 401(k), PTO, and more. Referral Bonus Program: Earn cash rewards for referring your friends. Tuition Reimbursement: Develop your skills with company paid training and education to take your career to the next level. Digital Wallet Access: Get paid as you earn—no more waiting for payday! Start Your Journey with Us Apply today and become part of a team where your compassion, dedication, and care truly matter. At Care Initiatives , we’re committed to helping you grow your career while improving the lives of those we serve. Committed to attracting and retaining a diverse staff, Care Initiatives will honor your experiences, perspectives, and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming. Care Initiatives is an Affirmative Action and Equal Opportunity Employer. Care Initiatives complies with applicable federal civil rights laws and does not discriminate based on race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, gender expression, marital status, parental status, genetic information, protected veteran status, or any other characteristic protected by law.

Outpatient

Full-time

2 weeks ago

Clinic Registered Nurse (RN): Primary Care

MercyOne Pleasant Hill, IA

Employment Type: Full time Shift: Day Shift Description: At MercyOne, health care is more than just a doctor’s visit or a place to go when you’re in need of medical attention. Our Mission is based on improving the health of our communities – that means not only when you are sick but keeping you well. MercyOne Central Iowa sets the standard for personalized and radically convenient care in the Des Moines metro area and surrounding counties. MercyOne Des Moines Medical Center, founded by the Sisters of Mercy in 1893, is the longest continually operating hospital in Des Moines and Iowa’s largest medical center, with 802 beds available. The hospital is one of the Midwest’s largest referral centers. With more than 7,000 colleagues and a medical staff of almost 1,500 physicians and allied health professionals, MercyOne Central Iowa is one of Iowa’s largest employers. Want to learn more about MercyOne Pleasant Hill Family Medicine here : MercyOne Pleasant Hill Family Medicine | MercyOne Join the MercyOne Family! We are looking to hire a Clinic RN for our MercyOne Pleasant Hill Family Medicine As a Clinic RN at MercyOne, you will provide patient care in outpatient settings and are responsible for delivering safe, effective, and evidence-based patient care through assessment, planning, implementation, and evaluation. They coordinate care provided by other clinical staff, support patient and family education, and ensure communication across healthcare teams. They are accountable for clinical standards and may operate with minimal supervision Schedule: Full time 40 hours a week M-F 7a-5:00p No Weekends no Holidays General Requirements: Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. Plans, assesses, intervenes, and provides direct patient care using critical thinking and nursing processes (assessment, planning, implementation, evaluation). Performs comprehensive patient assessments (physical, psychosocial, nutritional, functional, safety, spiritual, cultural, educational). Makes nursing decisions based on patient status and care needs. Administers medications and treatments safely via multiple routes (oral, IM, SC, ID, IV, inhalation, topical, ocular, optic, sublingual, nasal) and documents accordingly. Performs nursing care, lab and diagnostic tests, specimen collection, phlebotomy, and limited radiology procedures following policies and universal precautions. Assists providers with patient care, phone/mail/fax communications, scheduling, consents, admissions, referrals, and outpatient procedures. Communicates and collaborates with physicians, staff, patients, families, and interdisciplinary team members regarding care plans and patient needs. Educates patients, families, and clinical staff on treatments, medications, test preparation, discharge, and health maintenance; documents education and evaluates understanding. Participates in staff meetings, committees, quality improvement, risk management, and performance improvement projects. Maintains documentation accuracy and completeness in EMR: assessments, vitals, symptoms, treatments, medications, education, charges, lab results, histories, and consults. Maintains and monitors supplies, equipment, medication stock, and office machines; follows maintenance and quality control protocols; reports malfunctions. Recognizes and responds appropriately to urgent/emergency patient needs and initiates emergency procedures. Other duties as needed and assigned by the manager. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. Education: Must be comfortable operating in a collaborative, shared leadership environment. Active RN License in the state of Iowa; Licensure from other states may be required based on location. Compact State License acceptable where applicable. Basic Life Support (BLS) certification required within 3 months of hire. Proof of completion of Mandatory Reporter abuse training specific to the population served within 3 months of hire. Proficient in basic computer skills (Windows environment, web-based navigation, email, MS Office). Ability to work with diverse groups of people in a collaborative, shared leadership environment. Requires the ability to read, write and understand the English language, and communicate effectively with patient, visitors, and colleagues while performing their job duties. Completion of specialty classes or proof of other certifications required for some roles. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. Colleagues of MercyOne Health System enjoy c ompetitive compensation with a full benefits package and opportunity for growth throughout the system! Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.