Clinical Quality & Administrative Professional with experience in compliance auditing, risk management, credentialing support, records administration, and operational coordination within healthcare environments. Skilled in conducting compliance reviews, maintaining audit accuracy, analyzing performance trends, and supporting process improvement initiatives. Proficient in data management, document control, and regulatory compliance. Recognized for maintaining a discrepancy rate below 5% while ensuring adherence to Joint Commission and client requirements.
Experience: 2 - 5 years
Experience: 1 - 2 years
Conduct weekly compliance audits to ensure consultant files meet Joint Commission, client, and regulatory requirements. Perform backlog audits, second-level reviews, and ad hoc compliance assessments. Maintain audit discrepancy rates below 5% through detailed quality assurance reviews. Escalate high-risk compliance findings and deficiencies to leadership for immediate resolution. Develop weekly and monthly audit dashboards using to support operational and compliance decision-making. Analyze audit trends and identify recurring compliance gaps to support corrective action planning. Maintain audit tracking databases and documentation records for regulatory reviews and internal reporting. Collaborate with credentialing, operations, and compliance teams to improve audit accuracy and workflow efficiency.
Experience: 1 - 2 years
Experience: Less than 6 months
Experience: 1 - 2 years
Experience: 2 - 5 years
Experience: 1 - 2 years
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