HEF - Nursing Auditor

Description

Job Summary: The nursing auditor ensures the quality of patient care and the efficiency of the healthcare system by identifying inconsistencies and optimizing resources. Key Highlights: 1. A fundamental professional in ensuring the quality of patient care 2. Focused on identifying inconsistencies and optimizing resources 3. Trains healthcare professionals and supports strategic decision-making The **nursing auditor** is a fundamental professional in hospital institutions, as they help ensure the quality of patient care and the efficiency of the healthcare system, in compliance with regulations, contracts, and protocols, with a focus on identifying inconsistencies, reducing claim denials, and optimizing resources. **Total Compensation:** R$ 5\.240,44 **Work Schedule:** 220 hours (Mon\-Fri) **Work Mode:** On-site **Responsibilities and Duties** * Analyze medical, nursing, and multidisciplinary team records using specific protocols and legislation to identify inconsistencies, ensure information quality, and guarantee regulatory compliance; * Verify records of procedures and treatments performed, comparing them against billing tables (SIGTAP), to prevent claim denials and ensure accurate billing; * Identify, categorize, and propose solutions for claim denials raised by the health department, using detailed reports and meetings with teams, to recover revenue and prevent recurrence; * Generate technical reports based on data collected from medical records and systems, presenting analyses and recommendations to support strategic decisions by hospital management; * Train healthcare professionals on the importance and correct completion methods for medical records and clinical forms, ensuring greater information accuracy and reducing documentation errors; * Validate and submit requests for procedure authorizations to the health department, using management systems and protocols, to ensure compliance with established regulations; * Review medical and hospital bills related to services rendered, cross-referencing data from medical records, to ensure alignment with services provided; * Perform other duties inherent to the position. **Requirements and Qualifications** * Bachelor's degree in Nursing; * Postgraduate degree in Internal Audit for Healthcare Services; * Valid professional council registration; * Proficiency in Microsoft Office suite; * Prior experience in SUS billing is desirable. **Additional Information** * On-site meals; * SESC benefits; * DayOff. The **IMED** is a non-profit social organization promoting public health. The Institute is committed to community well-being and excellence in managing hospital units. Since 2013, we have combined cutting-edge technology, professional appreciation, and a humanized approach to deliver high-quality services within the SUS. Our focus on planning, rational resource use, and commitment to sustainability ensures quality care for the population in an environment of growth and collaboration. The Institute spares no effort to improve its work environment solely to provide high-quality services to those who need them. Motivated employees contribute to a high-performance environment: they produce more, interact better, become more passionate about their work, improve organizational performance, and consequently increase customer satisfaction. Currently, we manage the **Trindade State Hospital** (Hetrin), the **Central-North Goiás State Hospital** (HCN) in Uruaçu, the **Formosa State Hospital** (HEF), the **Northeast Region State Polyclinics – Posse**, and the **Entorno Region State Polyclinics – Formosa**, both in Goiás, and the **Brasilândia Municipal Hospital** (HMB) in São Paulo.