Technical Audit Analyst at Unimed Porto Alegre responsible for evaluating clinical documents. Ensuring compliance with healthcare standards and regulations while participating in risk management.
Responsibilities
Perform technical audits of accounts, medical records and care processes, assessing compliance with clinical protocols, institutional guidelines, regulatory standards and applicable legislation.
Review prescriptions, nursing progress notes and other care records, verifying clinical coherence, technical adequacy and completeness of information.
Issue well‑founded technical opinions, documenting findings, nonconformities and opportunities for improvement in accordance with the criteria established by the auditing area.
Support the technical validation of procedures, materials, medications and therapies according to applicable care and regulatory criteria.
Contribute to the identification and mitigation of care‑related, legal and financial risks associated with audited processes.
Support the standardization of audit processes and workflows, contributing to the continuous improvement of care quality.
Stay updated on regulatory standards, clinical protocols and best practices in health auditing.
Requirements
Bachelor’s degree in Nursing (active and valid registration with the Regional Nursing Council).
Basic knowledge of health auditing, technical auditing or clinical auditing.
Knowledge of care protocols, clinical guidelines and healthcare best practices.
Introductory knowledge of legislation and regulations applicable to supplementary healthcare and/or hospital care.
Ability to prepare technical records and reports clearly and objectively.
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