Claims Quality and Compliance Auditor I Jobs

The Claims Quality and Compliance Auditor I selects claims through random processes and/or other criteria. Audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Being a Claims Quality and Compliance Auditor I typically requires an associate's degree. Makes recommendations to improve quality, workflow processes, policies and procedures. In addition, Claims Quality and Compliance Auditor I typically reports to a supervisor or a manager. Being a Claims Quality and Compliance Auditor I gains exposure to some of the complex tasks w ... ithin the job function. Occasionally directed in several aspects of the work. Working as a Claims Quality and Compliance Auditor I typically requires 2 to 4 years of related experience. More
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