JOB SUMMARY

We are seeking a meticulous Registered Nurse Auditor to conduct reviews of nursing procedures and documentation. The RN Auditor will be tasked with ensuring accurate billing and adherence to medical policies and regulations. This role requires an individual well-versed in medical coding and billing procedures, detail oriented, and has a background in nursing and experience in auditing.

QUALIFICATIONS

• Proven work experience as a Nurse Auditor or similar role in the healthcare industry
• Current registered nursing license
• Familiarity with coding and billing procedures
• Knowledge of medical regulations and guidelines
• Strong attention to detail with good analytical skills
• Excellent communication and reporting skills
• Strong knowledge of auditing standards, regulations, and practices.
• Ability to communicate findings clearly both verbally and in writing.
• Previous experience in auditing roles is highly desirable.
• Knowledge of wound care, home health, and relevant standards will be considered an asset.
• Proficiency in using medical billing software and electronic health record (EHR) systems.
  This position offers an opportunity to contribute significantly to our organization while gaining valuable experience in the auditing field. We encourage qualified candidates who meet the above criteria to apply for this exciting opportunity.
  Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Application Question(s):

• Do you have wound care knowledge/experience?

Experience:

• Clinical: 4 years (Required)

License/Certification:

• RN License (Required)

Ability to Commute:

• Oklahoma City, OK 73159 (Preferred)

Work Location: In perso

• Review nursing documentation and patient medical records for accuracy and compliance with policies
• Ensure correct coding and billing procedures are followed
• Report any discrepancies or violations of medical laws and guidelines
• Make recommendations for improvement and follow up to ensure implementation
• Communicate findings and recommendations to healthcare providers and administrative staff
• Conduct regular audits to identify issues or trends
• Stay updated with changes in medical regulations and policies
• Conduct thorough audits to ensure accuracy and compliance with applicable standards.
• Review internal controls and processes to identify weaknesses and recommend improvements.
• Prepare detailed audit reports that summarize findings, conclusions, and recommendations for management.
• Collaborate with various departments to gather necessary information and clarify audit requirements.
• Assist in the development of audit plans and schedules to ensure timely completion of audits.
• Provide training and guidance to staff on compliance standards and audit procedures.