Telecommute Nurse Auditor

Job ID: Available for Members

Location: Idaho, Oregon, Utah, Washington

Compensation: Salary

Staff Reviewed: Wed, Jul 31, 2019

Job Category: Healthcare, Non-profit, Quality Assurance

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Additional Information: Benefits Available

Job Summary

A nonprofit healthcare company has a current position open for a Telecommute Clinical Review Pharmacy Analyst.

Core Responsibilities of this position include:

  • Conducting coding audits, quality assurance assessments of claims
  • Developing written audit findings with respect to contractual compliance
  • Writing audit reports, as applicable

Qualifications for this position include:

  • 3 years of experience
  • Bachelor's Degree in Healthcare OR
  • Equivalent combination of education and experience
  • Proven knowledge of medical and surgical procedures and other healthcare practices
  • Proven competency to apply clinical expertise to ensure compliance with medical policy
  • All other requirements listed n the job lead