RN/LPN Nurse Auditor
As an RN/LPN Nurse Auditor, your primary focus is to complete reviews on assigned audits as objectively and accurately as possible in order to uphold quality and performance standards. Reviews are conducted based on clinical expertise and the utilization of a range of audit tools.
Job Duties
- Performs reviews of medical charts
- Validate both the coding accuracy and appropriateness of services given to inpatients
- Record audit determinations using an audit tracking system to create a narrative explaining the rationale behind the care given to patients
- If an appeal arises, be able to support findings
- Consult with physicians, patients, and other staff as needed
- Assist with quality assurance functions such as development of coding guidelines as needed
- Maintain all required certifications to ensure ability to perform audits
Education and Experience
- A minimum of an Associate’s Degree in Nursing or a related field is required
- For some positions, a Bachelor’s Degree in Nursing or a related field is preferred
- Must maintain a current Nursing certification in their state of practice
- Some (1-2) years of clinical knowledge or experience in Case Management preferred
- Strong problem solving skills are a must
- Solid computer skills required in suites such as Microsoft Office