Quality Audit Senior Representative

Job Summary

A company is looking for a Quality Review & Audit Senior Representative.

Key Responsibilities

• Monitor and manage chart retrieval activities for IFP projects, ensuring completeness and quality
• Conduct outbound outreach to provider offices to request records and resolve deficiencies
• Perform daily quality audits of vendor submissions and maintain production tracking and reporting

Required Qualifications

• High School Diploma or equivalent
• Knowledge of medical records and basic medical terminology
• Basic proficiency with Microsoft Excel, Outlook, Word, and Adobe
• General understanding of healthcare privacy regulations
• Prior experience with medical records and EMR/EHR systems preferred