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Critical Staffing - Compliance Auditor

Company: AMN Healthcare
Location: San Diego
Posted on: August 3, 2020

Job Description:

Job DescriptionUnder the direction of Compliance and Regulatory Services Manager, the Compliance Auditor will conduct routine oversight, monitoring and auditing of all internal business functions within AMN Healthcare, as well as externally delegated functions to ensure compliance with all State, Federal and Accreditation standards. The Compliance Auditor conducts regularly measured assessment via credentialing technology to assess compliance with facility, state, federal, AMN, JC and NCQA requirements.Job Tasks:Performs audits on the credentialing process to ensure clinician files meet the requirements which include AMN requirements, state, federal, client specific requirements, JC and NCQA requirementsUtilizes applicable credentialing technology and audit tool to complete auditsTracks audit efforts closely against the agreed scope to ensure timely high quality accurate completion of auditsAccurately communicate production status and risk identification to management on a weekly basisProactively identify & mitigate all risks to achieve target completion datesProvides support to as needed for ad hoc audits (Strike events, EMR projects, State audits, facility audits, etc.)Possess outstanding documentation, assessment and written communication skillsProactively engage with internal functional teams, and customers as required to ensure successful completion of compliance initiativesAssists with workflow development and/or implementation and other quality related activitiesDemonstrates metrics driven approach to measuring success of compliance projects with strong analytical backgroundCoordinates the preparation of and may prepare document packages for regulatory submissions from all areas of company as well as for internal and external audits and inspectionsDemonstrates ability to deal with complex issues while maintaining a flexible positive, cooperative demeanor. Flexibility and adaptability to meet periodic changes in departmental needs. Promotes direct, honest, open and timely communicationUnderstand and employs a risk based auditing approach with attention to trend analysisAssists Manager with state/federal research and related documentationInternal Customers & PartnersCredentialing Operations LeadershipLegal DepartmentClinical Operations LeadershipExternal CustomersRegulatory agenciesAccreditation agenciesClient AuditorsSystemsAMIE, SFDC, AVID, VMS (Shiftwise, Medefis, Fieldglass), V2, and other systemsMS Office (especially Excel)Box.comSharepointInternet navigation (credentialing or licensing web sites)Respect Passion Continuous Improvement Trust Customer Focus Innovation AMN Healthcare is an EEO/AA/Disability/Protected Veteran EmployerWe encourage minority and female applicants to applyAMN Healthcare is committed to fostering and maintaining a diverse team that reflects the communities we serve. Our commitment to the inclusion of many different backgrounds, experiences and perspectives enables our innovation and leadership in the healthcare services industry.We value professionalism in everything we do this includes the professional presence we project as we interact with internal and external customers.

Keywords: AMN Healthcare, San Diego , Critical Staffing - Compliance Auditor, Accounting, Auditing , San Diego, California

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