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Job Summary: Nurse Auditor to conduct technical audits, analyze medical requests, and perform visits/inspections at healthcare facilities. Key Highlights: 1. Conduct technical audits and analyze medical requests 2. Perform technical visits and inspections for credentialing and monitoring 3. Provide technical support to Health Promotion and Disease Prevention programs **Position: Nurse Auditor – Fixed Term \- 1 vacancy \- Maceió, AL** Department: Regional Management of Recife \- PE Job Code: 003372/2026\-35 **Application Period: 02/23/26 to 02/26/26** Recruitment Type: External Working Hours: Monday to Friday, 8:00 AM to 5:00 PM. **Work Location: Service Point \- Alagoas** **Responsibilities:** Conduct technical audit activities. Analyze and issue technical opinions on medical requests, authorizing services in compliance with legislation and internal policies. Perform technical visits and inspections for credentialing, specialty extension, relocation or service changes, patient monitoring, and other purposes. Verify DUTs and identify fraud; provide technical support to the Regional Manager. Assist beneficiaries and providers, and provide information upon request. Participate in account closure for billing purposes. Maintain updated spreadsheets and management/control systems. Attend internal and external audits. Respond to NIPs (Non-Conformance Reports). Provide requested information to various departments through generation and issuance of managerial reports. **Additional Requirements:** Conduct concurrent audits of medical bills. Execute and monitor procedures related to health programs and home care. Monitor hospitalized patients’ care management. Conduct technical inspections at healthcare facilities. Validate reports and issue opinions. Analyze requests for medical procedures. Provide technical support to processes related to Health Promotion and Disease Prevention programs. Requirements: **Education:** **Completed Bachelor’s Degree** in Nursing with active registration at Coren. Postgraduate degree in Healthcare Services Auditing or related field. **Completed Postgraduate Degree** in Healthcare Services Auditing or related field. **Mandatory Technical Knowledge:** Knowledge of regulations and resolutions issued by the National Supplementary Health Agency (ANS). Knowledge of healthcare auditing, home care, health programs, and/or healthcare services. Knowledge of negotiation processes in healthcare services. Advanced knowledge of remuneration tables used in the healthcare market. Knowledge of the Unified Health Supplementary Terminology (TUSS) table. Experience in preparing managerial reports. Knowledge of Business Writing. Intermediate knowledge of office application suites (with emphasis on word processing and spreadsheet software). **Experience:** Minimum 2 years of experience in medical-hospital billing audits. Benefits **Benefits:** Meal allowance and/or food voucher, Health Insurance Plan, Childcare Assistance, Group Life Insurance, Sesc Card, among others.
