Georgia Licensed Clinical Auditor

Job Summary

A company is looking for a Clinical Quality Assurance Nurse Auditor.

Key Responsibilities

• Evaluate clinical information and write/review various reports such as Medical Record Reviews and Coding Reviews
• Perform quality assurance reviews of peer reports and ensure compliance with client specifications and regulatory standards
• Identify inconsistencies in reports and assist in resolving customer complaints and quality assurance issues

Required Qualifications

• Bachelor's or Associate degree in nursing or related field, or equivalent experience
• Minimum five years of related experience or equivalent combination of education and experience
• Experience with medical terminology, medications, and treatment protocols
• RN or LPN license required
• Experience in the insurance industry preferred