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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