Claims Quality and Compliance Auditor III Jobs

The Claims Quality and Compliance Auditor III 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 III typically requires an associate's degree. Makes recommendations to improve quality, workflow processes, policies and procedures. In addition, Claims Quality and Compliance Auditor III typically reports to a supervisor or a manager. Claims Quality and Compliance Auditor III is a specialist on complex technical and busi ... ness matters. Work is highly independent. May provide a leadership role for the work group through knowledge in the area of specialization. Working as a Claims Quality and Compliance Auditor III typically requires 7+ years of related experience. More
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