Clinical Quality Assurance Nurse Auditor

Overview:

ExamWorks is seeking a detail-oriented, highly-skilled, acute care registered nurse (RN) to join our team.   

The Clinical Quality Assurance Nurse Auditor is responsible for examining patient records, comparing them to billing statements and verifying the accuracy of charges.

You’ll enjoy the flexibility of working 100% remotely.

The schedule will be Monday through Friday; 8:00am-5:00pm PST, leaving your nights and weekends free!   Training for your first few weeks of employment will be 7:00am-4:00pm PST.   

Compensation is $34.00-$35.00/hour, plus overtime.

Are you motivated, energetic, and excited to become part of the ExamWorks team? If so, you might be our next new team member!

• Reviewing patient medical records to ensure accurate documentation.
• Conducting audits to identify overcharges, undercharges or other billing errors.
• Staying updated with the latest changes in healthcare regulations and procedures.
• Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.
• Promote effective and efficient utilization of company resources.
• Participate in various continuing education requirements and or training activities.
• Perform other duties as assigned.

• Must hold and maintain an unencumbered Registered Nursing license.
• Must have strong knowledge of medical terminology, anatomy and physiology, treatment protocols, medications and laboratory values.
• Must be knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
• Must possess excellent skills in English usage, grammar, punctuation and style.
• Ability to follow instructions and respond to upper managements’ directions accurately.
• Demonstrates accuracy and thoroughness. 
• Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.
• Must be able to work independently, prioritize work activities and use time efficiently.
• Must be able to maintain confidentiality.

ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.

ExamWorks offers a fast-paced team atmosphere with competitive benefits, paid time off, and 401k.

Examworks is an Equal Opportunity Employer and affords equal opportunity to all qualified applicants for all positions without regard to protected veteran status, qualified individuals with disabilities and all individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age or any other status protected under local, state or federal laws.

Equal Opportunity Employer - Minorities/Females/Disabled/Veterans