Job Description
Posting Description
We believe a career is more than just a career — it's a calling. Our teammates' "True North" is what calls them to health care; it’s their passion. At North Mississippi Health Services, we believe in helping you leverage and connect that passion with a much greater purpose that impacts people you know and love.
JOB SUMMARY
The Nurse Auditor at North Mississippi Health Services plays a critical role in ensuring the accuracy of medical record documentation and compliance with regulations. They conduct clinical audits, evaluate weaknesses, and make recommendations for improvement, including special projects like Drug Diversion Audits and IRB Audits.
JOB FUNCTIONS
Clinical Audits:
- The incumbent's primary task is to perform audits to ensure medical record documentation accurately reflects billed charges and is in compliance with federal and state regulations. The incumbent evaluates if weaknesses exist and must be able to make recommendations to address the weaknesses. The incumbent performs special projects to include Drug Diversion Audits and IRB Audits at the request of senior leadership. Must be able to perform projects in a timely manner.
Compliance: - The incumbent is responsible for performing clinical compliance audits as needed to ensure NMHS is compliant with applicable laws and regulations. The incumbent also assists the Audit Director, and Privacy Officer in HIPAA audits.
Coordinate: - The incumbent is responsible for coordinating clinical audits and pre-audits medical record files with external parties.
Communication: - The incumbent must be able to communicate audit findings verbally and through written audit reports to appropriate parties identifying trends and areas for improvement. Collaborate with stakeholders regarding recommendations and development of action plans for improvement.
Qualifications
Education
Bachelor's Degree in Nursing or BBA. Required Or Associate's Degree in lieu of Bachelor degree willing to accept Assoc degree with 4 years experience beyond the required minimum. Required
Licenses and Certifications
. RN- Registered Nurse - State Licensure. Upon Hire. Required
Work Experience
1-3 years. A minimum of three years of clinical experience. Required And 1-3 years. auditing, clinical documentation improvement, coding, or utilization review. Preferred And
Knowledge Skills and Abilities
Familiarity with PC to include Word, Excel, and various internet resources Short, specific statements about skills needed in areas of planning, organizing, implementing, and evaluating the work that is to be done. This position is responsible for coordinating and performing clinical audits on medical record files as requested by external parties and in-house business staff. This position also develops and performs internal departmental audits to verify charging, documentation processes, and appropriate controls. With whom does the person come into contact and to what degree. The individual should have strong communication skills, ability to interact with various levels of NMHS management and staff, external auditors, and other outside parties. This position must convey a professional level of expertise and confidentiality and maintain a working relationship with all levels of management and staff.
Physical Demands
A thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Standing. Occasionally Walking. Occasionally Sitting. Frequently Lifting/Carrying. Occasionally 20 lbs Pushing/Pulling. Rarely Climbing. Rarely Balancing. Rarely Stooping/Kneeling/Bending. Rarely Reaching/Over Head Work. Occasionally Grasping. Frequently Speaking. Frequently Hearing. Constantly Repetitive Motions. Frequently Eye/Hand/Foot Coordinations. Occasionally
Benefits A****vailable Continuing Education 403B Retirement Plan with Employer Match Contributions Pet, Identity Theft and Legal Services Insurance Wellness Programs and Incentives Referral Bonuses Employee Assistance Program Medical Benefits Dental Benefits Vision Benefits License + Certification Reimbursement Life, Long-Term and Short-Term Disability, Group Accident, Critical Illness and Hospital Indemnity Insurance Employee Discount Program Other: Early Access to Earned Wages Tuition Assistance Relocation Assistance Paid Time Away Special Employee Rates at NMMC Wellness Centers
Schedule
North Mississippi Health Services (NMHS) is a diversified regional health care organization serving 24 counties in north Mississippi and northwest Alabama and is one of the largest employers in Mississippi with over 6,900 employees. NMHS covers a broad range of acute diagnostic and therapeutic services offered through North Mississippi Medical Center (NMMC) in Tupelo, Community Hospital System, and North Mississippi Medical Clinics. NMHS strives to improve the health for people in this region by providing conveniently accessible and cost-effective healthcare of the highest quality.
