NURSE AUDITOR

LE104 North Mississippi Health Services, Inc.; Portland (OR); On-site; USD 51,000 - 77,000; Full time

Job summary

North Mississippi Health Services seeks a Nurse Auditor to ensure the accuracy of medical record documentation and compliance with federal and state regulations. The role conducts clinical audits, evaluates weaknesses, and recommends improvements, including Drug Diversion and IRB audits.

The incumbent coordinates audits with external parties, communicates findings, and helps develop corrective action plans with NMHS leadership. A Bachelor’s degree in Nursing and RN licensure are required.

Qualifications

• Bachelor's degree; RN licensure required.
• Strong communication with NMHS management and auditors.
• Experience with clinical audits and HIPAA audits.
• Ability to coordinate clinical audits with external parties.

Responsibilities

• Perform clinical audits to verify accurate documentation and regulatory compliance.
• Coordinate pre-audits and audits with external parties and internal staff.
• Communicate audit findings clearly and prepare written reports.
• Develop action plans with stakeholders to address identified weaknesses.

Skills

Audit coordination

Communication skills

Word/Excel basics

HIPAA knowledge

Education

Bachelor's Degree in Nursing

Tools

Microsoft Word

Microsoft Excel

Job description

We believe a career is more than just a career — it's a calling. Our teammates' \"True North\" is what calls them to health care; it’s their passion. At North Mississippi Health Services, we believe in helping you leverage and connect that passion with a much greater purpose that impacts people you know and love.

Department: 24009030 Internal Audit Work Shift: Job Description: The Nurse Auditor at North Mississippi Health Services plays a critical role in ensuring the accuracy of medical record documentation and compliance with regulations. They conduct clinical audits, evaluate weaknesses, and make recommendations for improvement, including special projects like Drug Diversion Audits and IRB Audits.

JOB FUNCTIONS

Clinical Audits:

• The incumbent's primary task is to perform audits to ensure medical record documentation accurately reflects billed charges and is in compliance with federal and state regulations. The incumbent evaluates if weaknesses exist and must be able to make recommendations to address the weaknesses. The incumbent performs special projects to include Drug Diversion Audits and IRB Audits at the request of senior leadership. Must be able to perform projects in a timely manner.

Compliance:

• The incumbent is responsible for performing clinical compliance audits as needed to ensure NMHS is compliant with applicable laws and regulations. The incumbent also assists the Audit Director, and Privacy Officer in HIPAA audits.

Coordinate:

• The incumbent is responsible for coordinating clinical audits and pre-audits medical record files with external parties.

Communication:

• The incumbent must be able to communicate audit findings verbally and through written audit reports to appropriate parties identifying trends and areas for improvement. Collaborate with stakeholders regarding recommendations and development of action plans for improvement.

Knowledge Skills and Abilities

• Familiarity with PC to include Word, Excel, and various internet resources
• Short, specific statements about skills needed in areas of planning, organizing, implementing, and evaluating the work that is to be done.
• This position is responsible for coordinating and performing clinical audits on medical record files as requested by external parties and in-house business staff.
• This position also develops and performs internal departmental audits to verify charging, documentation processes, and appropriate controls.
• With whom does the person come into contact and to what degree.
• The individual should have strong communication skills, ability to interact with various levels of NMHS management and staff, external auditors, and other outside parties.
• This position must convey a professional level of expertise and confidentiality and maintain a working relationship with all levels of management and staff.

Physical Demands

• Standing. occasionally
• Walking. occasionally
• Sitting. Frequently
• Lifting/Carrying. occasionally 20 lbs
• Pushing/Pulling. Rarely
• Climbing. Rarely
• Balancing. Rarely
• Stooping/Kneeling/Bending. Rarely
• Reaching/Over Head Work. occasionally
• Grasping. Frequently
• Speaking. Frequently
• Hearing. Constantly
• Repetitive Motions. Frequently
• Eye/Hand/Foot Coordinations. occasionally

Salary Range: $51,064.00 - $76,606.40

Education: Bachelor’s Degree | Nursing |

Required Certifications: Registered Nurse (MS) - MS Board of Nursing

North Mississippi Health Services is a large rural health care system with state-of-the-art facilities in Mississippi and Alabama. We have career opportunities ranging from inpatient hospital care to 70+ rural health and specialty clinics, a variety of outpatient, women’s and behavioral health services and many additional support services. Our team of over 7,000 works together every day toward our shared mission – to continuously improve the health of the people of our region.