RN Clinical Compliance Analyst & Auditor

FirstHealth of the Carolinas; Pinehurst (NC); On-site; USD 90,000 - 130,000; Full time

Job summary

FirstHealth of the Carolinas is seeking a Corporate Compliance Officer to oversee nursing compliance initiatives, audits, investigations, and regulatory monitoring across the system.

The role requires a BSN and NC RN licensure, with 3–5 years nursing management or 10+ years of regulatory experience, plus strong HIPAA, coding, and reimbursement knowledge. On-site in Pinehurst, NC focused on safety and quality improvement.

Qualifications

• BSN and active NC RN license required.
• 3–5 years in progressive nursing management or 10+ years in clinical compliance/regulatory roles.
• Proficiency in HIPAA privacy and security requirements.
• Experience with audits, monitoring, and investigations.

Responsibilities

• Assist in developing, updating, and maintaining compliance policies and procedures.
• Plan and perform financial, operational, and compliance audits.
• Monitor coding, billing practices, and medical necessity.
• Prepare audit reports and support action plans.

Skills

Nursing management

Regulatory/compliance

Data analysis

Communication

Education

BSN degree

RN license (NC)

Tools

Microsoft Word

Microsoft Excel

EPIC

Job description

FirstHealth of the Carolinas is seeking a Corporate Compliance Officer to oversee nursing compliance initiatives, audits, investigations, and regulatory monitoring across the system.

The role requires a BSN and NC RN licensure, with 3–5 years nursing management or 10+ years of regulatory experience, plus strong HIPAA, coding, and reimbursement knowledge. On-site in Pinehurst, NC focused on safety and quality improvement.