Clinical Quality Assurance Nurse Auditor

@ MES Solutions

Overview

Are you a detail-oriented RN with a passion for clinical excellence? MES Solutions is seeking a Clinical Quality Assurance Nurse Auditor to ensure the accuracy, integrity, and compliance of clinical documentation.

Responsibilities

• Evaluate clinical information and draft comprehensive reports.
• Review peer reports and ensure compliance with standards.
• Provide evidence-based rationales and citations in reports.
• Verify provider credentials and follow client instructions.
• Address discrepancies, recover missing documentation, and resolve complaints.
• Support quality assurance inquiries and offer guidance to management.
• Participate in continuing education and adhere to regulatory mandates.
• Perform additional duties as assigned.

Qualifications

• Bachelor/Associate degree in nursing or equivalent experience.
• Strong knowledge of medical terminology, anatomy, and medications.
• Proficient with Microsoft Word, Outlook, Excel, and related software.
• Ability to type at least 40 W.P.M. and perform accurate computations.
• Excellent English skills and independent work abilities.

About MES Solutions

MES Solutions is a premier provider of independent medical examinations and peer review services to various sectors, including insurance, corporate, legal, and government. Operating nationally since 1978, MES adheres to high standards of operating excellence and regulatory compliance.

Benefits

• Competitive benefits including medical, vision, dental.
• Paid time off and 401k.
• Fast-paced team environment.

Work Arrangement

This is a 100% remote position, Monday through Friday: 9:00am-5:30pm EST.

Key skills/competency

Clinical documentation, Quality Assurance, Medical Terminology, Compliance, Report Writing, Remote Work, Independent Work, Microsoft Office, Communication, Regulatory Standards