Clinical Auditor
All Locations (WV, VA, SC, & NC))
Compliance /
Full-Time /
Remote
Our doors are open, and we are still providing care. Planned Parenthood South Atlantic is committed to providing high-quality, inclusive, and non-judgmental sexual and reproductive healthcare to all genders, sexual orientations, races, religions, abilities, ethnicities, and cultural backgrounds. We are a team of compassionate and dedicated staff members, and we will continue to open our doors to those who need it.
Are you worried about applying because you feel you don’t meet every single requirement? At PPSAT we are dedicated to building a diverse, inclusive, and authentic workplace! If you’re excited about a position but your past experience doesn’t align perfectly with every qualification in the job posting, we encourage you to apply anyways. You may be the candidate PPSAT is looking for!
The challenges we face, past and present, only strengthen PPSAT's commitment to our communities and employees. Our work has staying power. Come join us one of the nation's leading providers of sexual and reproductive healthcare.
Learn more: ppsatcareers.org
Why Planned Parenthood South Atlantic?
We are powerful educators, advocates, and innovators for health care. Be part of the diverse Planned Parenthood Team. Work hand in hand with like-minded individuals in an environment built on collaboration, open communication, and mutual respect. We’re looking for passionate, dedicated people who are eager to make positive contributions to their community and to our mission.
What's interesting about this job?
The Clinical Auditor will work in partnership and under the direction of PPSAT’s Risk and Quality Management Director, supporting key areas of Risk & Quality Management (RQM) of Clinical Services. This will include identifying issues with medical record documentation through accurate auditing and providing recommendations to improve clinical compliance. Specifically, the Clinical Auditor will help ensure, through chart audits and other process improvement initiatives, that patient safety and the delivery of high-quality patient care are maintained. The Clinical Auditor must be able to work autonomously and collaboratively with their supervisor as well as the Chief Medical Officer, Clinical Director of Family Planning, Health Center Managers, Clinicians, and Registered Nurses throughout the affiliate, and serve as a quality and compliance resource for clinical staff.
This is a full-time position with functions in Compliance (30 hours) and Centralized Follow-Up (10 hours).
Who You Are:
Believe reproductive health care is essential to every person’s overall health, well-being, and happiness.
Experience working with multiple state requirements.
Skilled at collaborating with staff at all levels within an organization.
Results-oriented and able to work independently.
Excited about repetitive work.
Passion for organization and strong attention to detail.
Excellent time management skills.
Ability to work autonomously and collaboratively.
What You'll Do in Compliance (but not limited to):
- Develop an internal audit plan in collaboration with the Director of Risk and Quality Management.
- Perform chart audits for patient encounters by utilizing affiliate-specific guidelines to ensure accuracy of medical record documentation.
- Develop or revise audit tools in consultation with relevant staff as needed.
- Contribute to plans for communicating with and training health center staff to ensure deficiencies are corrected.
- Participate in training initiatives as a quality assurance & compliance resource.
- Recognize and identify opportunities for improving medical record documentation.
- Maintain regular communication with relevant staff regarding any issues encountered during the auditing of medical records.
- Participate in Compliance department meetings
What You'll Do in Centralized Follow-Up (CFU):
- Assist the Contact Center with answering patient questions, performing initial patient assessments, and providing patient support and education as appropriate.
- Answer questions related to PPSAT health care services, including reproductive health care for men and women, sexually transmitted infections, birth control methods, primary care, GAHT, and procedural and medication abortion. Support the confidentiality of all patients and ensure they feel comfortable over the phone.
- Triage current lab results for all providers. Filter/prioritize the urgent notifications.
- Start Care Paths for the given result as indicated by PPSAT Medical Standards and Guidelines (MS&Gs) and CFU RN Standing Orders (Pharmaceutical and Non-Pharmaceutical).
- Communicate results and next action steps to Clinicians, Healthcare Assistants, the Clinical Director of Family Planning (CDFP), and Health Center Managers (HCM) as appropriate.
- Assist with any other applicable tasks as needed to the Health Centers.
What You'll Bring to the Role:
- Associates' or Bachelor's in Nursing from an accredited higher education institution
- Minimum of 4 years' experience as a Registered Nurse and 2 - 3 years of risk management/auditing experience in a healthcare setting.
- Current Nursing License in one of the service area states: SC, NC, VA, WV
- Experience with EMR/EHR
- Ability to interpret written guidelines as they relate to compliance
- Experience with medical chart reviewing and auditing, with strong attention to detail
Bonus Points if:
- Experience with Salesforce
- Experience in a reproductive healthcare setting
Schedule:
Full-time position working 40 hours per week (30 hours Compliance, 10 hours CFU)
Monday - Friday 9 AM to 5 PM
Remote/Hybrid work style
Candidate must be based in the PPSAT service area of SC, NC, VA, or WV.
What You Get:
Full Benefits including but not limited to...
Medical, Dental, and Vision
Health Reimbursement Account
403B Retirement Plan with Contribution Match
Paid Time Off
Holiday Pay
Employee Assistance Program
Compensation:
PPSAT's compensation philosophy is based on equity and transparency. Each job at PPSAT is assigned a salary grade built on market data. For an individual coming into PPSAT, we set a pay rate generally between the minimum and the midpoint of the salary grade, and based on candidate qualifications. The pay range for this position is an annual salary of $68,000 to $86,700.
A complete application includes a cover letter and resume.
This position requires a background check once a job offer is extended to the final candidate. PPSAT does not discriminate in employment and understands the many barriers candidates may face when applying to jobs. One of those barriers is the criminal justice system and its effects on background checks. We understand that these barriers more often negatively impact BIPOC. A conviction is not an absolute bar to employment. Factors such as the age of the offense, evidence of rehabilitation, the seriousness of violation, and job relatedness are considered in all employment decisions.
Planned Parenthood of South Atlantic Diversity, Equity, and Inclusion Statement
At Planned Parenthood of South Atlantic (PPSAT), we embrace diversity, equity, and inclusion and strive to keep it at the core of who we are. We are committed to a diverse workforce that welcomes an array of perspectives, experiences, and backgrounds. We believe that diversity, equity and inclusion in teams, decision-making, policy, practice, and operations contributes to a sense of belonging that benefits our culture, our staff, our patients, and our community. At PPSAT, we are dedicated to learning, reducing and eliminating inequities, and developing best practices to dismantle systemic racism and the complex problems caused by it.
Planned Parenthood South Atlantic is an equal opportunity employer.
No phone calls please.
