NURSE AUDITOR

  • On-site
  • Full-time
  • Posted
No local language required
Apply from
Not stated
Local language
Not required
English
Working language
Visa sponsorship
Not stated
Relocation support
Not stated
Salary
$51k–77k / year
  • . We check every job on the employer's own careers page every day and remove closed jobs.
  • Visa sponsorship not stated by the employer.
  • You apply on North Mississippi Health Services' own website. We never ask you for money.
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We believe a career is more than just a career — it's a calling. Our teammates' "True North" is what calls them to health care; it’s their passion. At North Mississippi Health Services, we believe in helping you leverage and connect that passion with a much greater purpose that impacts people you know and love.

Department:

24009030 Internal Audit

Work Shift:

Job Description:

The Nurse Auditor at North Mississippi Health Services plays a critical role in ensuring the accuracy of medical record documentation and compliance with regulations. They conduct clinical audits, evaluate weaknesses, and make recommendations for improvement, including special projects like Drug Diversion Audits and IRB Audits.JOB FUNCTIONS Clinical Audits: • The incumbent's primary task is to perform audits to ensure medical record documentation accurately reflects billed charges and is in compliance with federal and state regulations. The incumbent evaluates if weaknesses exist and must be able to make recommendations to address the weaknesses. The incumbent performs special projects to include Drug Diversion Audits and IRB Audits at the request of senior leadership. Must be able to perform projects in a timely manner. Compliance: • The incumbent is responsible for performing clinical compliance audits as needed to ensure NMHS is compliant with applicable laws and regulations. The incumbent also assists the Audit Director, and Privacy Officer in HIPAA audits. Coordinate: • The incumbent is responsible for coordinating clinical audits and pre-audits medical record files with external parties. Communication: • The incumbent must be able to communicate audit findings verbally and through written audit reports to appropriate parties identifying trends and areas for improvement. Collaborate with stakeholders regarding recommendations and development of action plans for improvement. Knowledge Skills and Abilities • Familiarity with PC to include Word, Excel, and various internet resources • Short, specific statements about skills needed in areas of planning, organizing, implementing, and evaluating the work that is to be done. • This position is responsible for coordinating and performing clinical audits on medical record files as requested by external parties and in-house business staff. • This position also develops and performs internal departmental audits to verify charging, documentation processes, and appropriate controls. • With whom does the person come into contact and to what degree. • The individual should have strong communication skills, ability to interact with various levels of NMHS management and staff, external auditors, and other outside parties. • This position must convey a professional level of expertise and confidentiality and maintain a working relationship with all levels of management and staff. Physical Demands A thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. • Standing. occasionally • Walking. occasionally • Sitting. Frequently • Lifting/Carrying. occasionally 20 lbs • Pushing/Pulling. Rarely • Climbing. Rarely • Balancing. Rarely • Stooping/Kneeling/Bending. Rarely • Reaching/Over Head Work. occasionally • Grasping. Frequently • Speaking. Frequently • Hearing. Constantly • Repetitive Motions. Frequently • Eye/Hand/Foot Coordinations. occasionally

Salary Range:

$51,064.00 - $76,606.40

Education:

Bachelor’s Degree | Nursing | Required

Certifications:

Registered Nurse (MS) - MS Board of Nursing

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About North Mississippi Health Services

Overview

Access to the right care when and where you need it - with eight hospitals, more than 70 primary care clinics and over 60 specialty services in 26 counties.