Registered Nurse Clinical Auditor

A company is looking for a Clinical Compliance Auditor. Key Responsibilities Audit medical records to ensure compliance with coding, documentation, and regulatory standards Review and appeal clinical validation denials from third-party payers and government entities Provide education and support to staff regarding documentation, coding, and reimbursement issues Required Qualifications Graduate from an accredited School of Nursing Registered Nurse (Single State) or RN - Multi-state Compact required Minimum 5 years of healthcare experience At least 1 year of experience with clinical validation denials/appeals or clinical validation auditing Proficient in Microsoft products, including Excel and Word

Jun 19, 2025 - 06:10

A company is looking for a Clinical Compliance Auditor. Key Responsibilities Audit medical records to ensure compliance with coding, documentation, and regulatory standards Review and appeal clinical validation denials from third-party payers and government entities Provide education and support to staff regarding documentation, coding, and reimbursement issues Required Qualifications Graduate from an accredited School of Nursing Registered Nurse (Single State) or RN - Multi-state Compact required Minimum 5 years of healthcare experience At least 1 year of experience with clinical validation denials/appeals or clinical validation auditing Proficient in Microsoft products, including Excel and Word