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State Licensed Quality Auditor

7/11/2025

N/A

Job Summary

A company is looking for a Senior Auditor Quality - OPSP.

Key Responsibilities
  • Conducts clinical quality assurance reviews and communicates findings with initial auditors
  • Applies healthcare auditing principles and performs independent audits of medical records
  • Mentors other auditors and may flex into initial audit and appeals roles as needed
Required Qualifications
  • Associates or Bachelor's degree in Nursing with an active/unrestricted license
  • 5+ years of experience in claims auditing, quality assurance, or recovery auditing
  • Coding Certification (RHIA, RHIT, CCS, or CIC) required; other certifications considered with conditions
  • 3-5 years of healthcare auditing or related experience
  • Ability to mentor staff and enhance auditor performance

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