Nurse Auditor: Clinical Compliance & Medical Records

North Mississippi Health Services; Tupelo (MS); On-site; USD 60,000 - 90,000; Full time

Job summary

North Mississippi Health Services is seeking a Nurse Auditor to ensure medical record documentation accurately reflects billed charges and regulatory compliance. The role involves conducting clinical audits, evaluating weaknesses, and recommending improvements, including projects like Drug Diversion and IRB audits.

The successful candidate will coordinate audits with external parties, communicate audit findings, and collaborate on action plans to address identified trends and gaps.

Qualifications

• Duties involve conducting clinical audits to ensure medical record documentation matches billed charges and complies with regulations.
• Experience with HIPAA audits and regulatory compliance is beneficial.
• Ability to communicate audit findings and collaborate on corrective action plans.

Responsibilities

• Perform clinical audits to verify accuracy of medical records and billing compliance.
• Coordinate pre-audit and audit files with external parties as needed.
• Communicate findings and recommendations to stakeholders to drive improvements.
• Assist with ad-hoc audits like Drug Diversion and IRB audits as requested by leadership.

Job description

North Mississippi Health Services is seeking a Nurse Auditor to ensure medical record documentation accurately reflects billed charges and regulatory compliance. The role involves conducting clinical audits, evaluating weaknesses, and recommending improvements, including projects like Drug Diversion and IRB audits.

The successful candidate will coordinate audits with external parties, communicate audit findings, and collaborate on action plans to address identified trends and gaps.