Nurse Auditor

Description

Job Summary: Strategic Nurse Auditor at Medradius, ensuring quality of care, regulatory compliance, and efficient use of resources within an integrated team. Key Highlights: 1. Strategic role in ensuring quality of care and regulatory compliance 2. Collaborative environment with opportunities for growth and continuous learning 3. Focus on innovation, humanized care, and patient safety As a **Nurse Auditor**, you will play a strategic role in ensuring quality of care, process compliance, and efficient use of clinical resources. You will be part of an integrated team working closely with clinical, financial, and operational departments — helping to promote safe, effective, and sustainable care. **Medradius** is a medical diagnostics company with its own hospital, recognized for excellence in patient care, innovation, and commitment to quality. Our culture values teamwork, continuous learning, and humanized care. We seek organized professionals who are detail-oriented and eager to grow within a collaborative and continuously evolving environment. **Responsibilities and Duties** * Evaluate nursing care quality through medical record analysis. * Verify compliance of clinical practices with institutional protocols. * Prepare reports, performance indicators, and monitoring spreadsheets. * Support and participate in nursing team training, promoting continuous improvement. * Analyze hospital billing statements and claim denials, proposing adjustments and optimizations to fee schedules and processes. * Stay updated on clinical practices, technical standards, and services offered by the institution. **Requirements and Qualifications** **Education and Certifications:** * Bachelor’s degree in Nursing with active registration at COREN. * Postgraduate degree in Healthcare Auditing. * Knowledge of Hospital Billing is desirable. * Certifications or training in clinical auditing, medical billing, or hospital accreditation are advantageous. **Technical Knowledge and Tools:** * Experience in medical record auditing and clinical compliance analysis. * Knowledge of hospital billing, medical billing, and denial analysis. * Familiarity with hospital information systems (e.g., Tasy, MV, or similar). * Experience in sending and analyzing XML files and documentation for health insurers. * Proficiency in Excel or spreadsheets for reporting and performance indicators. **Behavioral Skills:** * Analytical mindset and attention to detail. * Organizational skills and sense of responsibility. * Strong communication skills and ethical conduct. * Ability to collaborate effectively with multidisciplinary teams. * Proactivity and focus on continuous improvement. **Additional Information** Competitive salary; transportation allowance and meal voucher. **Medradius and You, Together for Life!** ======================================= At **Medradius**, caring is more than a profession — it’s our purpose. Since 1997, we have delivered excellence in healthcare, and in 2015, we expanded our infrastructure with the inauguration of our hospital, reinforcing our commitment to humanized, safe, and high-quality care. We are driven by innovation, teamwork, and continuous improvement — always placing life at the center of everything we do. **Our Commitment** --------------------- Humanized care Patient safety and quality of care Ethics and responsibility Continuous development Valuing people **Join Our Team** ---------------------------- Here, you’ll find a collaborative environment, growth opportunities, and a culture that values constant learning. If you seek purpose, professional growth, and wish to contribute to transforming the healthcare experience, come build this story with us. **Medradius and You, Together for Life!**