RN National Clinical Auditor

Seniorlink Incorporated d/b/a Careforth; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A healthcare company is seeking a National Clinical Compliance Auditor to conduct operational and regulatory audits. The ideal candidate will have a Bachelor's degree in nursing and at least 5 years of clinical experience. Responsibilities include preparing audit reports and ensuring compliance with regulations. Proficiency in Microsoft Office and medical documentation systems is required.

Qualifications

• Minimum of 5 years of direct clinical experience required.
• RN license is mandatory.
• Knowledge of Medicare, Medicaid, and managed care billing practices.

Responsibilities

• Plan and conduct operational, compliance, and regulatory audits.
• Prepare detailed audit reports and present findings.
• Develop and revise audit tools and clinical policies.

Skills

Operational auditing

Compliance management

Regulatory audits

Risk management

Proficient in Microsoft Office

Education

Bachelor's degree in nursing

Tools

Medical documentation systems

Job description

A company is looking for a National Clinical Compliance Auditor.

Key Responsibilities

• Plan and conduct operational, compliance, and regulatory audits
• Prepare detailed audit reports and present findings to compliance and quality improvement committees
• Develop and revise audit tools and clinical policies to ensure regulatory alignment

Required Qualifications

• Bachelor's degree in nursing with a minimum of 5 years of direct clinical experience
• RN license required
• Comprehensive knowledge of Medicare, Medicaid, and managed care billing practices
• Thorough understanding of risk and compliance management programs
• Proficiency with Microsoft Office and medical documentation systems