- Atlanta, Georgia, United States
- $53K–$74K per year
- 4+ years
Auditor responsible for medical reviews, compliance, fraud prevention, and audit projects within the Department of Community Health.
Compensation
$53,310.72 - $73,677.24
Responsibilities
- Conduct medical reviews and ensure consistency with Office of Audits guidelines
- Evaluate nursing standards and protocols
- Utilize coding principles per AMA, NCHS, WHO
- Review state, federal, and other regulatory standards
- Coordinate with divisions to monitor fraud, waste, and abuse
Requirements
- M.S. degree in Nursing, Psychology, Healthcare Administration, or similar clinical programs
- High school diploma/GED
- Nice to have: knowledge of nursing services
- Nice to have: professional nursing theory
- Nice to have: state and federal nursing laws