Quality Coordinator
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Job Summary
Ensuring accurate adjudication of cases, the full-time remote Quality Coordinator will perform quality audits, facilitate process improvement meetings, and provide training for staff in a healthcare setting.
Key responsibilities
- Conducts audits to verify the timeliness, accuracy, and consistency of dispute resolution decisions
- Plans and facilitates discussions for process and program improvement meetings
- Develops and delivers training materials and presentations for new and existing staff
Required qualifications
- Associate's degree or 60+ credit hours towards a Bachelor's degree in healthcare or related discipline
- Three years of medical dispute, Medicare appeals, or clinical experience in a healthcare setting
- Two years of training experience
- Experience in writing or making medical necessity decisions
- Residency in the United States for at least three of the last five years
Complete Job Description
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