Claims Quality Review Auditor in Killeen, TX for Baylor Scott & White Health

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Manager, Quality

WMCHealth

Warwick, New York

Patient Safety Specialist - Quality Improvement

BJC HealthCare

Saint Louis, Missouri

Ambulatory Infection Prevention Coordinator

Yuma Regional Medical Center

Yuma, Arizona

Patient Safety Supervisor - Weekends 3rd Shift

Vanderbilt Health

Nashville, Tennessee

Quality Improvement Consultant 2

Baylor Scott & White Health

Austin, Texas

CODING COMPLIANCE AUDITOR

University of Maryland Medical System

Baltimore, Maryland

Quality Improvement Consultant 1

Baylor Scott & White Health

Rowlett, Texas

Stdnt DOD NonClinical Perf Improv TMF Perform Improv Ofc A

CHRISTUS Health

Tyler, Texas

Research Regulatory Specialist II

AdventHealth

Orlando, Florida

Quality Management Specialist

Harris Health System

Houston, Texas

Research Revenue Cycle Compliance Specialist

AdventHealth

Orlando, Florida

Quality Dir & Pt Safety Officer (INW)

MultiCare Health System

Spokane, Washington

Regulatory Advocacy Manager

AdventHealth

Altamonte Springs, Florida

Registered Nurse (Quality Improvement)

Veterans Affairs, Veterans Health Administration

Oklahoma City, Oklahoma, Oklahoma

Quality Improvement Coordinator

AdventHealth

Castle Rock, Colorado

Patient Relations Spec, RN -Patient Safety/Risk Mgmt

WakeMed Health & Hospitals

Raleigh, North Carolina

Director of Quality Management

Kindred Hospitals

St. Petersburg, Florida

Biological Safety Officer-Research

Nemours

Wilmington, Delaware

Infection Prevention Specialist-DUH

Duke University Health System

Durham, North Carolina

Director Clinical Risk Management - Utilization Risk Management

CHRISTUS Health

Corpus Christi, Texas

Patient Safety Specialist

Nemours

Orlando, Florida

Program Manager (RN) Dialysis Unit and Nursing Quality and PI Full-Time

CHRISTUS Health

Santa Fe, New Mexico

Infection Control Manager

WMCHealth

Suffern, New York

Clinical Performance Assessment & Improvement (CPAI) Specialist

Foundation Health Partners

Fairbanks, Alaska

Trauma Nurse Coordinator - Performance Improvement (Nursing Manager) - Duke University Hospital

Duke University Health System

Durham, North Carolina

Claims Quality Review Auditor

JOB SUMMARYThe Claims Quality Review Auditor is responsible for auditing various claims to ensure quality and accuracy to related benefit payments, contract interpretation, and compliance with policies and procedures and regulatory guidelines. Makes recommendations to improve quality, workflow processes, policies and procedures.ESSENTIAL FUNCTIONS OF THE ROLETracks and trends audits in an effort to identify root cause errors to providers; provides feedback.

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