RN Clinical Auditor

A company is looking for an RN Clinical Auditor.

Key Responsibilities

Perform clinical audit reviews for government and commercial payers to ensure compliance and quality standards

Analyze medical records and data to identify trends and discrepancies, preparing audit materials as needed

Collaborate with healthcare providers and educate staff on audit outcomes and best practices

Required Qualifications

Associates or Bachelor's Degree in Nursing

Registered Nurse (RN) license required

3 years of regulatory audit experience, utilization review, or clinical validation preferred

Experience with electronic medical records (EMR) systems

Ability to manage time and adapt to changing regulations in a production-based environment