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Phelps Health Physician Jobs

RN Job In Rolla, Missouri

Compliance Nurse Auditor

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Company: Phelps Health Profession/Specialty: RN Location: 1000 W 10th Street
Rolla, Missouri 65401
Type of Facility: Hospital
Job Description
General Summary
  • The Compliance Nurse Auditor provides support to the Corporate Compliance Office in areas of compliance audit and clinical expertise.
Essential Duties and Responsibilities
  • Audits conducted in accordance with the audit methodologies defined in the Ethics, Compliance and Privacy Plan.
  • Ensures compliance with hospital policy and all applicable state and federal laws and regulations when performing audits.
  • Works with various staff and departments such as Health Information Management, coding and billing department, the clinical nursing units, physicians, and others to obtain the information necessary to perform audits.

  • Conducts organizational audits and reviews as directed to cover areas or functions of the hospital identified as potential compliance risks.

  • Perform risk assessments in both clinical and business areas that have been identified by annual OIG Work Plan as potential areas of concern.
  • Conducts medical necessity reviews in a timely manner, working with coding, billing, and CDI professionals to assure compliant billing of services documented in the medical record.
  • Demonstrates knowledge on CMS and State regulations regarding acute hospital services, physician clinics, home health, hospice, and ambulance services.
  • Recommends and implements quality control systems to ensure that assigned functions and activities are efficient, effective and in compliance with internal policies and with both state and federal regulations.
  • Conducts special studies and projects as assigned; researches and analyzes information; prepares statistical and narrative reports and documents as needed.
  • Assists with corrective and preventive actions and process improvements with hospital departments as a result of audit findings.
  • Assist the Ethics, Director of Corporate Compliance in providing education for hospital staff in Compliance matters.

  • Works autonomously and complete duties timely.
  • Reports and communicates all findings to the Director of Corporate Compliance in a timely manner.

  • Demonstrates proficiency in Epic and legacy systems navigation of Electronic Health Record (EHR).

   Job Qualifications

  • Education
    • Graduate of an accredited school of nursing. Bachelor’s or Master’s in Nursing preferred.  Certification in Compliance preferred.


  • Work Experience
    • At least 5 or more year’s clinical nursing experience required.  Experience in corporate compliance preferred.


  • Certification/License
    • RN License in Missouri or Compact State required.

  Mental/Physical Requirements

  • Ability to concentrate, pay close attention to detail and perform duties under time restrictions. Ability to sit for long periods. Must be able to handle and transport 25 pounds.
Working Conditions
  • Standard office conditions
EOE
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Job Map - 1000 W 10th Street Rolla, Missouri 65401 US
Phelps Health Physician Jobs
About Phelps Health

Phelps Health, one of the largest employers in the region, is seeking talented people who are committed to integrity, compassion, innovation and philanthropy. Phelps Health has a variety of job opportunities available, including clinical positions, such as nurses and care providers, as well as non-clinical careers, such as support staff. All of our employees make a difference in the patient experience, no matter what role they serve. Find your career at Phelps Health today.

Contact Information
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