Senior Auditor, Quality

This is a fully remote position, open to applicants in United States.

📋 Description

• Ensuring that audited claims adhere to established quality standards

• Engaging with initial auditors to guarantee precision

• Conducting clinical quality assurance evaluations

• Applying industry expertise to medical audit procedures

• Analyzing medical records for billing and coding discrepancies

• Providing mentorship to QA auditors or initial auditors

• Adapting to the initial audit role as necessary

⛳️ Requirements

• An Associate's or Bachelor's degree in Nursing (with an active/unrestricted license)

• At least 5 years of experience in claims auditing, quality assurance, or recovery auditing

• Coding Certification (RHIA, RHIT; CCS or CIC is preferred)

• 3-5 years of experience in healthcare auditing or a related field

• Capability to mentor team members

• Strong verbal and written communication abilities

• Proficiency in Microsoft Office Suite (Excel, Outlook, PowerPoint, SharePoint, etc.) is required

🏝️ Benefits

• Medical, dental, and vision insurance

• Disability and life insurance coverage

• 401(k) retirement savings plans

• Paid family leave policy

• Nine paid holidays each year

• 17-27 days of Paid Time Off (PTO) annually, based on specific level and tenure