Registered Nurse - Quality and Compliance

Key Responsibilities

• Review and audit clinical documentation to ensure accuracy, completeness, and compliance with established standards
• Evaluate medical records and notes with a strong focus on Medical Decision Making (MDM)
• Identify gaps in documentation, coding, and compliance, and provide actionable feedback
• Ensure adherence to internal protocols, regulatory guidelines, and quality benchmarks
• Analyze clinical and operational data to identify trends, risks, and improvement opportunities
• Collaborate with clinical and operations teams to improve documentation quality and compliance
• Maintain high levels of accuracy and attention to detail in all audit and review processes
• Support continuous quality improvement initiatives within the organization

Requirements

• Active Registered Nurse (RN) license (US experience preferred)
• Strong analytical and problem-solving skills
• Expertise in medical documentation and clinical notes review
• Solid understanding of Medical Decision Making (MDM)
• Experience in quality audits, compliance, or clinical quality assurance
• High attention to detail with strong accuracy in work
• Excellent communication and feedback skills