Licensed Quality Assurance Auditor

Job Summary

A company is looking for a Senior Auditor Quality - CCCR.

Key Responsibilities

• Conducts clinical quality assurance reviews and communicates findings with initial auditors
• Applies healthcare auditing principles and objectivity in medical audit activities
• Mentors other QA auditors and may flex into initial audit or appeals roles as needed

Required Qualifications

• Associates or Bachelor's degree in Nursing or Health Information Management, or equivalent experience of 5+ years in claims auditing
• Coding Certification (RHIA, RHIT, CCS, or CIC) required; other certifications may be considered with conditions
• 3-5 years of healthcare auditing or related experience
• Ability to mentor staff to enhance auditor quality and productivity
• Proficiency in Microsoft Office Suite required