Georgia Licensed Clinical Auditor
A company is looking for a Clinical Quality Assurance Nurse Auditor. Key Responsibilities Evaluate clinical information and write/review various reports such as Medical Record Reviews and Coding Reviews Perform quality assurance reviews of peer reports and ensure compliance with client specifications and regulatory standards Identify inconsistencies in reports and assist in resolving customer complaints and quality assurance issues Required Qualifications Bachelor's or Associate degree in nursing or related field, or equivalent experience Minimum five years of related experience or equivalent combination of education and experience Experience with medical terminology, medications, and treatment protocols RN or LPN license required Experience in the insurance industry preferred
A company is looking for a Clinical Quality Assurance Nurse Auditor.
Key Responsibilities
Evaluate clinical information and write/review various reports such as Medical Record Reviews and Coding Reviews
Perform quality assurance reviews of peer reports and ensure compliance with client specifications and regulatory standards
Identify inconsistencies in reports and assist in resolving customer complaints and quality assurance issues
Required Qualifications
Bachelor's or Associate degree in nursing or related field, or equivalent experience
Minimum five years of related experience or equivalent combination of education and experience
Experience with medical terminology, medications, and treatment protocols
RN or LPN license required
Experience in the insurance industry preferred
