Claims Quality and Compliance Auditor II Jobs

The Claims Quality and Compliance Auditor II 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 II typically requires an associate's degree. Makes recommendations to improve quality, workflow processes, policies and procedures. In addition, Claims Quality and Compliance Auditor II typically reports to a supervisor or a manager. Being a Claims Quality and Compliance Auditor II contributes to moderately complex aspects ... of a project. Work is generally independent and collaborative in nature. Working as a Claims Quality and Compliance Auditor II typically requires 4 to 7 years of related experience. More
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