Nurse Auditor I

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct independent audits of clinical documentation to ensure alignment with billed services in a production setting.

• Utilize clinical and industry standards, payer policies, and comprehensive knowledge to support the medical necessity of rendered services.

• Build relationships with healthcare providers and insurance plans to verify compliance with policies, guidelines, and the continuity of care.

• Stay updated on technological advancements, regulatory changes, and medical practices through continuous training and self-directed research, and share insights with colleagues as appropriate.

• Propose ideas for process enhancements and communicate them with the team for educational purposes.

⛳️ Requirements

• A valid RN or LPN professional license in good standing.

• A minimum of 5 years of clinical experience.

• Strong verbal and written communication skills, along with effective organizational abilities.

• Capability to prioritize tasks efficiently.

🏝️ Benefits

• Competitive salaries.

• Highly valued health insurance.

• A 401(k) plan with employer matching.

• Paid parental leave.