RN Clinical Auditor
VirtualVocationsFremont, California, United States1 day ago
Job type
- Full-time
Job description
A company is looking for an RN Clinical Auditor.
Key Responsibilities
Perform clinical audit reviews for government and commercial payers to ensure compliance and quality standards
Analyze medical records and data to identify trends and discrepancies, preparing audit materials as needed
Collaborate with healthcare providers and educate staff on audit outcomes and best practices
Required Qualifications
Associates or Bachelor's Degree in Nursing
Registered Nurse (RN) license required
3 years of regulatory audit experience, utilization review, or clinical validation preferred
Experience with electronic medical records (EMR) systems
Ability to manage time and adapt to changing regulations in a production-based environment
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Auditor • Fremont, California, United States
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