RN National Clinical Auditor

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