Remote Clinical QA Nurse Auditor

MES Solutions; Norwood (MA); Remote; USD 45.000 - 48.000; Vollzeit

Zusammenfassung

MES Solutions is seeking a self-driven RN or LPN to join our team as a Clinical Quality Assurance Nurse Auditor. The role involves evaluating clinical information received from healthcare providers and writing reports based on clinical information to ensure accuracy and compliance with contracts and regulatory standards.

The position is 100% remote with a Monday through Friday schedule (7:00am–3:30pm EST or 8:00am–4:30pm EST).

Qualifikationen

• Bachelor/Associate degree in nursing or related field or equivalent experience.
• RN/LPN license in good standing required.
• Experience with medical terminology, medications, and treatment protocols preferred.
• Proficient typing (minimum 40 WPM) and computer literacy (Word/Outlook/Excel).

Aufgaben

• Evaluate clinical information and write/review reports (Medical Record Reviews, Billing Reviews, Coding Reviews, Hospital Bill Reviews).
• Ensure reports have clear, evidence-based rationales and follow client specifications.
• Verify references and clinical citations are current; ensure professional presentation and regulatory compliance.
• Assist in resolution of QA issues and respond to client inquiries as needed.

Kenntnisse

RN/LPN license

Medical terminology

Strong communication

Typist 40 WPM

Proficient in MS Word/Outlook/Excel

Ausbildung

Bachelor/Associate degree in nursing or related field

Tools

MS Word

Outlook

Excel

Jobbeschreibung

MES Solutions is seeking a self-driven RN or LPN to join our team as a Clinical Quality Assurance Nurse Auditor. The role involves evaluating clinical information received from healthcare providers and writing reports based on clinical information to ensure accuracy and compliance with contracts and regulatory standards.

The position is 100% remote with a Monday through Friday schedule (7:00am–3:30pm EST or 8:00am–4:30pm EST).