Talent.com
Medicare Quality Auditor

Medicare Quality Auditor

VirtualVocationsNashville, Tennessee, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Quality Auditor.

Key Responsibilities

Audit outbound calls for compliance with CMS regulations, HIPAA, and internal quality standards

Evaluate agent performance and provide feedback to supervisors for performance improvement

Maintain documentation of audit findings and support organizational readiness for audits

Required Qualifications

3 - 5 years of experience in call center quality assurance, preferably in Medicare Advantage or healthcare

Associate or bachelor's degree in healthcare, business, or related field preferred

Strong knowledge of CMS guidelines and HIPAA regulations

Experience with call recording and QA platforms

Intermediate proficiency in Word and advanced proficiency in MS Excel

serp_jobs.job_alerts.create_a_job

Quality Auditor • Nashville, Tennessee, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Director, Nursing & Quality Resource - Behavioral Health-Remote

Director, Nursing & Quality Resource - Behavioral Health-Remote

Lifepoint Behavioral HealthBrentwood, TN, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time +2
At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Quality Manager

Quality Manager

Aya HealthcareNashville, TN, US
serp_jobs.job_card.full_time
Imagine building a better healthcare journey for patients with cancer, where individuals and their loved ones feel seen, supported, and heard by their care team both in and out of the clinic.Where...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Certified Medical Assistant

Certified Medical Assistant

AscensionMurfreesboro, TN, United States
serp_jobs.job_card.full_time
Various health insurance options & wellness plans.Retirement benefits including employer match plans.Long-term & short-term disability. Employee assistance programs (EAP).Parental leave & adoption a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Medical Assistant

Medical Assistant

U.S. NavyWhites Creek, TN, United States
serp_jobs.job_card.full_time +1
To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.The Navy relies on exceptional medical personnel to keep our servicemen and women healthy.As a Hospital Corpsman...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Supervisor, Quality Control

Supervisor, Quality Control

Cardinal HealthLa Vergne, TN, US
serp_jobs.job_card.full_time
Quality Control contributes to Cardinal Health by developing and implementing quality policies, procedures, and processes to ensure products and services comply with regulatory standards and specif...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Director, Quality (Temporary)

Director, Quality (Temporary)

Health Support CenterBrentwood, TN, United States
serp_jobs.job_card.permanent +1
Director, Quality (Temporary) Schedule : This position requires a varied, PRN schedule.Travel to assignments will be required. Travel will be to any of our acute care hospitals within our 30 states ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Auditor

Auditor

Ardent CorporateBrentwood, TN, United States
serp_jobs.job_card.full_time
Ardent Health is a leading provider of healthcare in growing mid-sized urban communities across the U.With a focus on people and investments in innovative services and technologies, Ardent is passi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Inventory Auditor

Inventory Auditor

Costco Wholesale CorporationNashville, TN, US
serp_jobs.job_card.full_time
Maintain accurate count of all merchandise on the sales floor, steel and receiving.Identify, investigate and correct inventory discrepancies. Audit the receiving summary report daily.We offer a comp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
QA Analyst (MEDITECH) - HIM

QA Analyst (MEDITECH) - HIM

ZycronNashville, TN, United States
serp_jobs.job_card.full_time
Abstracting, Coding & Reimbursement and ICD-9 / ICD-10 Dual Coding.Oversees all aspects of testing activities for Meditech Abstracting module and functionality as well as 3M's Coding & Reimbursement ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
ACA / Medicare Risk Adjustment Analyst Sr.

ACA / Medicare Risk Adjustment Analyst Sr.

Baylor Scott & White HealthNashville, TN, United States
serp_jobs.job_card.full_time
The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes complex encounter inbound / outbound process issues, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Quality Auditor

Quality Auditor

FocusNashville, TN, USA
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Responsible for assurance of quality standards through process auditing and in-process inspection of product, as well as incoming inspections of raw materials received at building 2 to ensure that ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Collections Specialist I - Managed Medicaid

Collections Specialist I - Managed Medicaid

Veterans StaffingFranklin, TN, US
serp_jobs.job_card.full_time
The Collections Specialist I is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with govern...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Permanent Quality Director

Permanent Quality Director

Aya HealthcareNashville, TN, US
serp_jobs.job_card.permanent
Whether you have your eye set on a specific hospital or found a place you'd love to call home, we can help.As the nation's largest healthcare staffing agency, we'll get you in the door faster throu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Manager, Quality Clinics

Manager, Quality Clinics

Community Health SystemsFranklin, TN, US
serp_jobs.job_card.full_time
The Manager, Quality Clinics is responsible for leading quality improvement initiatives across physician practices and outpatient clinics to support value-based, patient-centered care models.The ro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Group Director of Quality

Group Director of Quality

Acadia HealthcareFranklin, TN, US
serp_jobs.job_card.full_time
The Group Quality Director is responsible for ensuring patient safety and superior quality of care as measured by survey readiness, treatment program fidelity, and compliance with state and federal...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Hospital Laboratory Director

Hospital Laboratory Director

TriStar Skyline Medical CenterNashville, TN, United States
serp_jobs.job_card.full_time +1
This position is incentive eligible.Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Sr Manager Quality Assurance

Sr Manager Quality Assurance

Coca-Cola ConsolidatedNashville, TN, US
serp_jobs.job_card.full_time
Our secret ingredient is our teammates.We offer great rewards, competitive pay, career advancement, and growth opportunities. Full time teammates are also eligible for : .Paid time off plus paid holid...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Laboratory Quality & Compliance Manager

Laboratory Quality & Compliance Manager

Dialysis ClinicNashville, TN, US
serp_jobs.job_card.full_time
Laboratory Quality & Compliance Manager.Our mission states "the care of the patient is our reason for existence," and our dedicated team embodies our sole purpose during every patient interaction.W...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Field Reimbursement Manager (Immunology Dermatology) (Nashville E, TN) Johnson & Johnson HCS, Inc.

Field Reimbursement Manager (Immunology Dermatology) (Nashville E, TN) Johnson & Johnson HCS, Inc.

J&J Family of CompaniesNashville, TN, US
serp_jobs.job_card.permanent
At Johnson & Johnson, we believe health is everything.Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Project Director of Quality

Project Director of Quality

Acadia HealthcareFranklin, TN, US
serp_jobs.job_card.permanent +1
The Project Director of Quality (PDQ) will be supporting and traveling to Acadia facilities across the country with a typical focus on their assigned Group. The PDQ may act as the Director of Qualit...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days