Clinical Compliance Specialist - Medical Necessity Auditor

Broward Health; Fort Lauderdale (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

Broward Health is seeking a dynamic professional for a full-time position in Fort Lauderdale focused on clinical compliance. This role champions clinical operations to align with healthcare regulations, ensuring accurate documentation and auditing medical necessity.

The ideal candidate will have a strong healthcare background, preferably in Nursing, and a minimum of 5 years of relevant experience. Opportunities for professional advancement into senior leadership are available.

Qualifications

• A minimum of 5 years of experience in a healthcare setting.
• Strong understanding of medical necessity criteria and regulations.
• Ability to train clinical staff on documentation standards.

Responsibilities

• Perform comprehensive audits of medical records.
• Develop training for clinical staff on documentation.
• Serve as subject matter expert on CMS updates.
• Identify documentation risks and implement policies.

Skills

Clinical compliance

Analytical skills

Medical necessity criteria

Quality Assurance

Clinical Documentation Improvement

Education

Bachelor's degree in Healthcare Administration or related field

Nursing licensure

Job description

Broward Health is seeking a dynamic professional for a full-time position in Fort Lauderdale focused on clinical compliance. This role champions clinical operations to align with healthcare regulations, ensuring accurate documentation and auditing medical necessity.

The ideal candidate will have a strong healthcare background, preferably in Nursing, and a minimum of 5 years of relevant experience. Opportunities for professional advancement into senior leadership are available.