Piper Clinical Solutions is seeking motivated candidates for a Healthcare Claims Auditor opportunity for a well-known health care organization in the area. The Healthcare Claims Auditor will be responsible for leading quality reviews of work and making suggestions on process improvement in the department.
This position is fully remote.
Responsibilities for the Healthcare Claims Auditor:
· Responsible for conducting quality reviews
· Identifying gaps and common errors in quality reviews and make suggestions on process improvement
· Conduct routine review of quality programs to ensure regulatory requirements are met
· Provide detailed feedback to Associates and Operations Management departments on findings and report results of common errors
· Conduct quality reviews and maintain all documentation for audit purposes
· Assist in all projects regarding changes in policies, procedures, benefits, or system upgrades
· Other duties as assigned
Requirements for the Healthcare Claims Auditor:
· 1+ years of experience working in quality review, quality assurance or process improvement in healthcare/clinical setting
· Medicare, Medicaid, CMS Coverage Experience a plus
· Associate Degree in healthcare, science, or related field preferred (HS Diploma, GED)
Compensation for the Healthcare Claims Auditor:
· Salary up to $52,000 based on meeting of requirements
· Full Benefits: Health, Dental, Vision Insurance, 401K