Quality Auditor
Collabera - jersey city, NJ
Apply NowJob Description
Description Home Search Jobs Job Description Quality Auditor Contract: New Jersey, New Jersey, US Salary: $40.00 Per Hour Job Code: End Date: Days Left: 20 days, 3 hours left Apply Title: Quality Auditor Location: Remote Duration: 5 months Client: Healthcare Responsibilities: Conduct on-site reviews at participating provider offices to assess the environment, quality of physicians' medical records, and compliance with documentation standards. Prepare appropriate documentation to summarize on-site findings with physicians, provide education, and discuss opportunities for improvement. Provide data support services to facilitate the process and analyze trends/patterns for quality improvement and health management. Assist the Quality Management department with various special projects and focused clinical studies. Perform related tasks or special studies as requested. Assist in training internal staff, providers, and vendors on programs and audit standards, both on and off-site. Serve as an in-house representative and project lead for state audits. Analyze audit findings. Produce various reports as requested. Coordinate and manage the Corrective Action Plan (CAP) process for assigned audit types. Conduct reaudits to ensure prior deficiencies were addressed. Required Skills: Registered Nurse Knowledge of managed care principles. Knowledge of medical terminology. Knowledge of PCs and related software. Prefer knowledge of URAC accreditation standards and HEDIS principles. Prefer knowledge of health management or patient education. Job Requirement Registered Nurse HEDIS Reach Out to a Recruiter Recruiter Email Phone Sanchej Waghmare Apply Now
Created: 2024-09-18