TN Visa Audit Specialist Jobs
Audit Specialist roles qualify for TN visa sponsorship under the USMCA treaty's Accountant category, covering internal audit, compliance audit, and financial audit functions. Canadian citizens can apply at the border or port of entry with no cap; Mexican citizens face a limited annual allocation. A degree in accounting or a related field and a qualifying U.S. job offer are required.
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Get Access To All JobsProject Audit RN
Full Time, Remote
WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you’ll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY
The Revenue Integrity Project Audit Nurse plays a dual, highly impactful role supporting both clinical audit operations and strategic revenue integrity initiatives. This position blends traditional audit responsibilities with project coordination, data analysis, education, and workflow optimization to support sustainable charge capture accuracy and compliance across hospital-based and outpatient settings.
The ideal candidate is an experienced auditor with strong clinical knowledge who is equally comfortable tackling cross-functional projects, partnering with clinical and informatics teams, and translating audit findings into actionable improvements.
BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
- PPO medical plan, available day one at no cost for full-time employee-only coverage
- 100% coverage for preventive healthcare - no copay
- Paid Time Off, available day one
- Retirement Programs through the Teacher Retirement System of Texas (TRS)
- Paid Parental Leave Benefit
- Wellness programs
- Tuition Reimbursement
- Public Service Loan Forgiveness (PSLF) Qualified Employer
EXPERIENCE AND EDUCATION
Required
Education
Graduate of an accredited nursing program.
Experience
5 years of clinical experience as a RN including
2 years performing utilization review, charge audit, case management or denial/appeal functions in an acute care hospital.
Principles of Managed Care, Medicare/Medicaid reimbursement.
Licenses and Certifications
(RN) REGISTERED NURSE Upon Hire
Preferred
Experience:
At least 2 years of experience in project management, project coordination, or production coordination within a healthcare or revenue cycle environment
License and Certifications
Lean Six Sigma certification (Yellow Belt or higher preferred)
Revenue Integrity certification, coding credential (CPC, CCS), or audit certification preferred
JOB DUTIES
- Perform project management activities in accordance with established project management principles, including executing assigned tasks outlined in approved project plans
- Support project execution through basic process analysis, task coordination, and issue tracking
- Assist Project Manager(s) in completing projects within defined scope, timeline, and objectives
- Conduct post-project reviews and prepare recommendations to identify successful outcomes, gaps, and opportunities for improvement
- Build, maintain, and strengthen relationships essential to successful project outcomes
- Collaborate with internal partners including Health Information Management, clinical nursing units, physicians, clinical informatics, and other departments to obtain information, resolve errors, and address audit trends
- Create, maintain, and organize comprehensive project documentation, including plans, status updates, and supporting materials
- Develop professional correspondence and provide administrative and editorial support for special projects, including presentations, meetings, and conferences; conduct internet and background research as needed
- Conduct clinical and billing audits by comparing medical record documentation to charges billed to identify potential under-charges, over-charges, or billing errors
- Document audit findings, post account corrections when appropriate, and communicate results to impacted departments
- Assist departments with charge reconciliation processes and provide timely education related to documentation, charging accuracy, and process improvement
- Perform other duties as assigned
SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
Project Audit RN
Full Time, Remote
WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you’ll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY
The Revenue Integrity Project Audit Nurse plays a dual, highly impactful role supporting both clinical audit operations and strategic revenue integrity initiatives. This position blends traditional audit responsibilities with project coordination, data analysis, education, and workflow optimization to support sustainable charge capture accuracy and compliance across hospital-based and outpatient settings.
The ideal candidate is an experienced auditor with strong clinical knowledge who is equally comfortable tackling cross-functional projects, partnering with clinical and informatics teams, and translating audit findings into actionable improvements.
BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
- PPO medical plan, available day one at no cost for full-time employee-only coverage
- 100% coverage for preventive healthcare - no copay
- Paid Time Off, available day one
- Retirement Programs through the Teacher Retirement System of Texas (TRS)
- Paid Parental Leave Benefit
- Wellness programs
- Tuition Reimbursement
- Public Service Loan Forgiveness (PSLF) Qualified Employer
EXPERIENCE AND EDUCATION
Required
Education
Graduate of an accredited nursing program.
Experience
5 years of clinical experience as a RN including
2 years performing utilization review, charge audit, case management or denial/appeal functions in an acute care hospital.
Principles of Managed Care, Medicare/Medicaid reimbursement.
Licenses and Certifications
(RN) REGISTERED NURSE Upon Hire
Preferred
Experience:
At least 2 years of experience in project management, project coordination, or production coordination within a healthcare or revenue cycle environment
License and Certifications
Lean Six Sigma certification (Yellow Belt or higher preferred)
Revenue Integrity certification, coding credential (CPC, CCS), or audit certification preferred
JOB DUTIES
- Perform project management activities in accordance with established project management principles, including executing assigned tasks outlined in approved project plans
- Support project execution through basic process analysis, task coordination, and issue tracking
- Assist Project Manager(s) in completing projects within defined scope, timeline, and objectives
- Conduct post-project reviews and prepare recommendations to identify successful outcomes, gaps, and opportunities for improvement
- Build, maintain, and strengthen relationships essential to successful project outcomes
- Collaborate with internal partners including Health Information Management, clinical nursing units, physicians, clinical informatics, and other departments to obtain information, resolve errors, and address audit trends
- Create, maintain, and organize comprehensive project documentation, including plans, status updates, and supporting materials
- Develop professional correspondence and provide administrative and editorial support for special projects, including presentations, meetings, and conferences; conduct internet and background research as needed
- Conduct clinical and billing audits by comparing medical record documentation to charges billed to identify potential under-charges, over-charges, or billing errors
- Document audit findings, post account corrections when appropriate, and communicate results to impacted departments
- Assist departments with charge reconciliation processes and provide timely education related to documentation, charging accuracy, and process improvement
- Perform other duties as assigned
SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
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Get Access To All JobsTips for Finding TN Visa Sponsorship as an Audit Specialist
Align your credentials to USMCA's Accountant category
TN visa classification for Audit Specialists falls under the Accountant category, not a standalone audit designation. Your degree must be in accounting, finance, or a closely related field. A CPA license strengthens your case but isn't mandatory if your degree aligns.
Target employers with dedicated internal audit functions
Publicly traded companies, financial institutions, and large healthcare organizations maintain standing internal audit teams and file TN petitions regularly. Smaller firms may audit clients externally but rarely hold TN sponsorship experience for this specific role.
Request a support letter that names the USMCA category
Your employer's offer letter must explicitly state 'Accountant' as the TN category and describe how your duties require accounting-level expertise. Vague titles like 'Audit Analyst' without that framing can trigger officer questions at the port of entry.
Use Migrate Mate to filter for TN-ready audit roles
Search Migrate Mate to find Audit Specialist openings at employers with recent visa filings and experience sponsoring work visas. Filtering by visa type before applying saves time you'd otherwise spend educating recruiters who aren't familiar with the USMCA process.
Prepare for scope questions from border officers as a Mexican national
Mexican TN applicants submit petitions to USCIS rather than processing at the border, and the annual allocation is limited. Start the filing process well before your intended start date and have your employer submit the I-129 with a detailed duties description covering your specific audit function.
Clarify audit scope in writing before your start date
If your role shifts from financial audit to IT or operational audit after you're hired, notify your employer immediately. USCIS expects your actual duties to match what was described in the petition. A material change in scope can affect your status at renewal.
Audit Specialist TN Visa: Frequently Asked Questions
Does the Audit Specialist role qualify for TN visa sponsorship?
Yes, Audit Specialist positions qualify under the USMCA treaty's Accountant category, which covers accounting, auditing, and related financial analysis functions. Your job offer must clearly describe duties that require professional-level accounting expertise. Titles alone don't determine eligibility; the actual work content and your qualifying degree are what USCIS and border officers evaluate.
How does TN compare to H-1B for Audit Specialist roles?
TN has no annual lottery and no cap for Canadian applicants, so you can start a qualifying audit role as soon as your employer is ready. H-1B visa requires entering a random lottery each spring, with results typically in April for an October start. For Audit Specialists with a clear accounting degree and a U.S. job offer, TN is faster and more predictable than H-1B in most cases.
What documents does my employer need to provide for TN sponsorship?
Your employer provides a support letter on company letterhead that states your job title, the USMCA Accountant category, your duties, your compensation, and the period of employment. For Canadian applicants processed at the port of entry, this letter plus your degree credentials and passport are typically sufficient. Mexican nationals require a full I-129 petition submitted to USCIS by the employer.
Where can I find Audit Specialist jobs that offer TN visa sponsorship?
Migrate Mate is built specifically to surface jobs at employers familiar with TN visa sponsorship, including Audit Specialist roles across industries like financial services, healthcare, and manufacturing. Searching a general job board often surfaces roles where recruiters aren't prepared to navigate USMCA filings, which can stall offers even after you're selected.
Can I change employers after starting an Audit Specialist role on a TN visa?
Yes, but TN status is employer-specific. If you change jobs, your new employer must establish a separate TN authorization before you begin working for them. Canadian nationals can process the new TN at a port of entry, while Mexican nationals must wait for USCIS to approve a new I-129 petition. Working for the new employer before authorization is in place violates your status.