Claims Quality Auditor

Job is Expired
Location: Remote
Compensation: Hourly
Staff Reviewed: Tue, Sep 24, 2024

Job Summary

A company is looking for a Claims Quality Auditor to join their team in California.

Key Responsibilities
  • Perform quality assurance functions on claims pre/post payment transactions
  • Analyze trends and provide feedback to improve claims processes and performance
  • Maintain statistical reports and support internal/external audits

Required Qualifications
  • High School Diploma / GED
  • Certified Coder
  • 2+ years of experience in a Healthcare Managed Care environment
  • 2+ years of experience reviewing Claims Adjudication data
  • Knowledge of CPT, RBRVS, ICD-10 coding, and regulatory requirements

COMPLETE JOB DESCRIPTION

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