Virginia Licensed Clinical Auditor RN

Job Summary

To enhance the quality and accuracy of medical record documentation, the full-time Virginia Licensed Clinical Auditor RN will perform quality audits, provide education to CDI team members and physicians, and assist with denial management, all while working remotely from eligible states.

Key responsibilities

• Conducts quality audits on CDI team members, ensuring compliance with coding guidelines and providing feedback and education
• Identifies training needs and coordinates educational sessions to meet quality and productivity standards
• Prepares audit reports for leadership and collaborates with various departments to address documentation issues

Required qualifications

• Associate's Degree in Nursing (Required); Bachelor's Degree in Nursing or a healthcare-related field (Preferred)
• 3-4 years of nursing experience, preferably in patient care, critical care, utilization management, quality, or patient navigation (Required)
• 3-4 years of Clinical Documentation Improvement (CDI) experience (Required)
• 1 year of auditing experience (Required)
• Current Registered Nurse (RN) license in Virginia (Required) and certification as a Clinical Document Specialist (CD) or Certified Documentation Integrity Practitioner (CDIP) (Required)