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QA Auditor, Medical Claims

Company: MultiPlan
Location: Kansas City
Posted on: January 15, 2022

Job Description:

JOB SUMMARY: To perform daily audits of work performed in assigned operational areas to ensure work adheres to processes as defined by each specific area and meets or excees the set quality standard. To deliver audit results in a timely and consistent manner, meeting all department quality and production goals ane remaining current with all applicable business and audit processes. JOB ROLES AND RESPONSIBILITIES:1. Perform daily audits and follow standard processes and procedures for assigned positions.2. Identify recurring issues for review and recommendations.3. Display basic understanding of standard review processes and work flows, providing consistency and appropriate detail in alignment with all policies and procedures, business rules and overall department guidelines.4. Maintain consistent quality and production standards with consideration around specific audit and turnaround time expectations.5. Collaborate, coordinate, and communicate across disciplines and departments.6. Ensure compliance with HIPAA regulations and requirements.7. Demonstrate Company's Core Competencies and values held within.8. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.Please note due to the exposure of PHI sensitive data - this role is considered to be a High Risk Role.JOB SCOPE:This job works under general supervision to complete job responsibilities. The incumbent possesses and applies a range of knowledge gained through experience to complete the job responsibilities. One uses established guidelines and experience to resolve issues and refers more complex issues to higher levels.

Keywords: MultiPlan, Kansas City , QA Auditor, Medical Claims, Accounting, Auditing , Kansas City, Kansas

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