Nurse Auditor, Internal Audit

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

Posting 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.

Job Summary

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.