State Licensed Clinical Audit Supervisor

Job Summary

To support a remote team of nurses and audit roles, the full-time salaried DME Supervisor will manage clinical review audits, oversee staff performance, and ensure adherence to medical review guidelines while contributing to operational strategy and quality assurance.

Key Responsibilities

• Regularly perform clinical audits and quality assurance reviews to maintain expertise and support business needs
• Supervise daily activities of clinical audit staff, providing guidance, coaching, and performance feedback
• Collaborate with management on needs assessments, capacity planning, and implementing new concepts

Required Qualifications

• Current active unrestricted Nursing license in good standing
• 3+ years of diverse nursing experience in inpatient or outpatient settings
• 2+ years of experience performing medical record audits in provider or payer settings
• 5+ years of experience in health care claims with expertise in ICD-9/ICD-10 coding and medical billing
• 3+ years of relevant supervisory or leadership experience in a similar business environment