Obtain your licensed practical nurse/licensed vocational nurse degree. Enroll in a certified program and complete the requirements.You can find a certificate program through the American Association of Coders and Auditors, as well as the American Academy of Professional Coders.
Apply to take the nurse auditor examination. You will be tested on legal and regulatory issues, coding from an auditor’s perspective and quality assurance. You will need to study books such as the CPT Professional Coding book and HCPCS Level II Coding book. These are the standard manuals in this industry. The examinations are pass or fail, although you can purchase a retake as needed.
Complete your degree as a registered nurse. There are two- and four-year programs available. With a registered nurse degree, you will be required to acquire clinical experience either on campus or at a medical facility approved by the nursing school. You will also need to take courses such as microbiology, nursing, nutrition, and anatomy and physiology.
Complete certification as a nurse auditor. You can do this through the American Association of Clinical Coders and Auditors or the American Academy of Professional Coders. This is a pass or fail certification, and the cost of the application to take the exam starts at around $225 as of 2010.
Showcase proficiency in Microsoft Office and health record management systems. You will be working with these applications consistently and need to be efficient in using them.
Convey a working knowledge of third-party billing, appeals and regulatory requirements. You will also have to have excellent analytical skills as they relate to determining appropriate codes for billing and reimbursement per client.