Nurse Auditor

North Mississippi Medical Center, Inc

Tupelo (MS)

On-site

USD 51,000 - 77,000

Full time

5 days ago

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Job summary

North Mississippi Health Services in Tupelo, MS is seeking a Nurse Auditor to ensure medical record documentation aligns with billed charges and complies with federal and state regulations. The role focuses on clinical audits and adherence to HIPAA and internal policies.

The Nurse Auditor will lead audits, coordinate with external parties, and report findings with actionable recommendations to senior leadership, promoting accuracy, efficiency, and strong internal controls across departments.

Qualifications

Bachelor's degree in nursing and RN license preferred.
Experience with clinical audits and regulatory compliance is desirable.
Strong communication and confidentiality are essential.

Responsibilities

Perform clinical audits to verify medical record documentation reflects charges accurately.
Identify weaknesses, advise improvements, and coordinate with external parties.
Support HIPAA audits and regulatory compliance efforts.
Collaborate with NMHS leadership and staff to develop action plans.

Skills

Word processing & Excel

Audit coordination

Communication skills

Confidentiality

Planning & organization

Education

Bachelor's Degree in Nursing

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

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