Compliance Nurse Job Description

A compliance nurse is a nurse auditor or compliance auditor. These occupations is relating with the patient accounting, insurance claims if any, and the insurance company audits.

The educational requirements of compliance nursing are she should complete a bachelor's degree in nursing. Some companies accept the current license, but some companies are willing to accept only if she has the experience in compliance in nursing instead of nursing license Some companies requires only several year experience .Due to insurance claims, the nurse should have the qualitative requirements like she should have the precious experience in the hospital claims, hospital audits and appeals. If she has any previous case management experience is also accepted by the company. She should have all the qualitative base which are required by the company her responsibilities also included by checking all the bills. She should audit all the employees' bills and she should also check all the compliance whether it all satisfies all rules and regulations regarding to the organizational policies and procedures of the company. She should also help the auditing agencies by formulating, tracking, and she should respond to the request of auditors if any. The timely manner to finish the work is required by the compliance nurse. This will create a good image to the compliance nurse by the company The compliance responsibilities of compliance nurse are she should maintain all the requests and she should response to the databases, she should also track trends in compliance reporting. The statistics of the company should be reviewed by the nurse and. she should also present them to the upper level management for their review like a manager job. According to indeed.com the average salary of compliance nurse is 61000 dollars per year.