Claims Quality Auditor jobs in the United States

Claims Quality Auditor audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Being a Claims Quality Auditor makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Additionally, Claims Quality Auditor typically reports to a supervisor or a manager. The Claims Quality Auditor gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Quality Auditor typically requires 2 to 4 years of related experience. (Copyright 2021 Salary.com)

P
Associate Project Director
  • PRC Baker Places
  • San Francisco, CA
  • ... data and claims department · In collaboration with Project Director monitors and reports ... trainings and auditing of client record documentation to agency/program standards · Reports ...
  • 2 hours ago

N
Accounts Receivable Representative III
  • North American Partners in Anesthesia
  • Remote, OR
  • ... auditing accounts, submitting all levels of appeals for denied claims as necessary, updating ... and quality metrics. 9. Maintains a working knowledge and understanding of CPT and ICD-10 codes
  • 2 days ago

R
Payroll Specialist
  • RLBY, Maslow Media Group & IQS
  • Clarksburg, MD
  • Process weekly and bi-weekly payroll ensuring accuracy of the data by reviewing and auditing ... claims, government and compliance reporting, HR inquiries and special projects. Do you have these ...
  • 2 days ago

W
Administrative Services & Human Resources Business Partner
  • Workrite Ergonomics
  • Petaluma, CA
  • Respond on behalf of the company on unemployment claims; reviews liability reports and monitors ... Supports internal auditing and quality control efforts and customer audits * Interfaces and assists ...
  • 4 days ago

M
Patient Financial Service Associate II - Behavioral Health Follow up
  • Maine Medical Center
  • Scarborough, ME
  • ... claims within filing limits to support the proper account completion and closure prior to 120 days ... A trainer will ensure that the training and auditing needs of the department are met. Works within ...
  • 6 days ago

D
LOGISTICS COORDINATOR
  • Dôen
  • Burbank, CA
  • ... CLAIMS ON 71 LBS. * ASSIST LOGISTICS MGR. IN VALIDATING HTS CODES IN ERP SYSTEM AND SHIPSTATION ... FEDEX INVOICE AUDITING * ECOMM LOGISTICS REVIEW, EXPORT/OUTBOUND SHIPMENTS * RECEIVING FUNCTIONS
  • 6 days ago

Income Estimation for Claims Quality Auditor jobs
$42,613 to $53,171