259757 Itemization Review Nurse

Itemization Review Nurse (Registered Nurse)

Salary: $85,000–$89,000 annually

Schedule: Monday–Friday, 8:00 AM–5:00 PM

Location: Fully Remote — Must reside in Texas

Overview

• Are you an experienced Registered Nurse looking to transition away from direct patient care into a remote, non-clinical role? We're seeking an Itemization Review Nurse to review hospital bills, evaluate the accuracy of billed charges, and use clinical knowledge to identify discrepancies. This is an excellent opportunity for a nurse with a strong inpatient background who enjoys analytical work, problem-solving, and attention to detail.
• Prior medical bill auditing experience is a plus but not required. Training will be provided!

Responsibilities

• Review itemized hospital bills and supporting documentation to determine the accuracy of billed charges.
• Analyze medical charges using clinical knowledge of hospital procedures, surgical services, and implants.
• Identify billing discrepancies, inconsistencies, and missing or inaccurate information.
• Document review findings and final conclusions accurately in designated systems.
• Apply an understanding of hospital billing practices, itemization review procedures, and HIPAA regulations.
• Manage assigned reviews independently while meeting departmental quality and productivity expectations.
• Collaborate with team members and leadership to support accurate and consistent review outcomes.

Required Qualifications

• Must reside in Texas and maintain an active Texas Registered Nurse (RN) license.
• Associate Degree in Nursing (ADN) or higher.
• Minimum of 5 years of recent inpatient RN experience in the Operating Room (OR), Intensive Care Unit (ICU), or Emergency Room (ER).
• Strong analytical, critical-thinking, and problem-solving skills.
• Excellent attention to detail and organizational skills.
• Ability to work independently, manage competing priorities, and adapt to changing workloads.
• Proficiency with Microsoft Office, including Excel, Outlook, and Teams.
• Willingness to learn medical bill auditing and itemization review processes.

Preferred Qualifications

• Previous medical bill auditing or itemization review experience.
• Experience with surgical implants or complex inpatient procedures.
• Hospital revenue integrity or health insurance payment integrity experience.
• Additional high-acuity experience in NICU, interventional radiology, or inpatient orthopedics involving implants.

Schedule & Work Environment

• Monday–Friday, 8:00 AM–5:00 PM.
• Fully remote; candidates must reside in Texas.
• Initial training will take place from 8:00 AM–5:00 PM Central Time.
• Competitive annual salary of $85,000–$89,000.

Why Consider This Opportunity?

Transition your clinical expertise into a non-bedside nursing career while maintaining a connection to healthcare through billing accuracy and cost containment. Training is provided for candidates who bring the right clinical foundation, a strong work ethic, and a commitment to learning.