CLINICAL NURSE AUDITOR_Full-Time(FTE)_fully remote
Greeting from Bestinfo Systems LLC!!
Hope & Pray that you and your loved ones are safe and healthy !!
Hope You're doing great today !!
We are constantly on the lookout for professionals to fulfill the staffing needs of our clients and we currently have a job opening that may interest you. Below is a summary of the position.
Job Title: CLINICAL NURSE AUDITOR
Job Type: Full-Time(FTE)
Location: fully remote
Industry: Healthcare / Health Services
Job Category: Medical / Health - Administration
Responsible for the completion of Quality monitoring and chart abstraction audits. Quality audits include but are not limited to: patient health information, clinical testing and follow-up, quality of provider services and medical management, medical record requirements, and other quality requirements as defined by PHP, performance measurement specifications, or Federal and State regulations
Be able to investigate perceived gaps in care identified through claims in order to identify documentation necessary to support exclusions or numerator hits
Use audit tools, conduct auditor training, perform tool validation, and conduct audits
Perform Clinical Onsite Provider Record audits to assure and document on a template, appropriate and current standards are in place for access, patient care facilities and medical record standards
Design and compile periodic monitoring reports including program evaluation and identification of improvement opportunities
Required qualifications for this position include:
Degree in Nursing
5 years of Clinical Experience
Oregon Registered Nurse Licensure
referred qualifications for this position include:
Bachelor's Degree in Nursing
1 year Quality management/quality improvement/utilization review auditing experience, including experience in auditing within electronic health records