Compliance Quality Auditor

Job Description

• Ensures compliance with regulations by examining and analyzing records, reports, operating practices, and documentation; will provide recommendations for improvement and coaching as necessary • Completes audit work papers and memorandums by documenting audit findings • Presents audit findings to the Quality Committee or other leadership body • Maintains excellent documentation of all audits, methodologies employed, results, corrective action plans implemented, and monitoring • Communicates audit progress and findings by preparing reports, discussions with management and providing information in meetings • Analyzes quality assurance and compliance data and assists in preparing reports. • Assists in designing and implementing solutions to quality management issues. • Maintains a strong working knowledge of state and federal legislation, statutes and regulations, as well as various client service level agreements • Other tasks as assigned by the Compliance Officer

Qualifications

• Completion of an accredited Registered Nursing Program (bachelor’s degree or higher degree required) • Certification in Healthcare Compliance (CHC) Preferred or willingness to achieve certification within 12 months of employment • Minimum 2 years in a healthcare auditing or operations role, preferably in Utilization Management clinical review/case management

Benefits

• Health insurance • 401k • Bonus