Claims Quality Auditor
VirtualVocationsGrand Rapids, Michigan, United Statesjob_description.job_card.variable_hours_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 Claims Quality Auditor to perform comprehensive audits of claims and identify incorrect payments.
Key Responsibilities
Conduct quality audits of claims using various sources of information
Analyze errors to determine root causes and classify them appropriately
Utilize audit software to document audit observations and facilitate corrective action plans
Required Qualifications
Associate's degree in a related field or equivalent experience
2+ years of experience in medical or pharmacy claims processing, training, or auditing
Knowledge of claim software systems and Microsoft Office applications
Familiarity with Medicaid and Medicare reimbursement rules
Preferred knowledge of CPT / HCPCS Coding
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Quality Auditor • Grand Rapids, Michigan, United States
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