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Remote Quality Auditor Jobs in Arkansas

Compliance Quality Auditor Jobs
By Cohere Health At United States
Communicate audit progress and findings by preparing reports, have discussions with management, and providing information in meetings
Assists in designing and implementing solutions to quality management issues.
Maintains a strong working knowledge of state and federal legislation, statutes, and regulations, as well as various client service level agreements
Completes audit work papers and memorandums by documenting audit findings
Presents audit findings to the Quality Committee or other leadership body
Maintains excellent documentation of all audits, methodologies employed, results, corrective action plans implemented, and monitoring
Quality Manager (Remote U.s.)
By Acentra Health At United States
3+ years of experience in quality management and project management.
3+ years of experience in Utilization Management (UM) / Utilization Review (UR).
5+ years of experience in quality management and project management.
Are you an experienced Quality Manager looking for a new challenge?
The Quality Manager also assists with the development of requirements for system configuration and reports.
Oversee contract-specific Quality Program, providing guidance to the management team and client regarding quality-related issues.
Coding Quality Auditor (Fully Remote)
By Cleveland Clinic At , Cleveland, 44195 $27.65 an hour
Specific training related to CPT procedural coding and ICD-10 diagnostic coding through continuing education programs/seminars and/or community college preferred.
In depth knowledge of ICD-10-CM/PCS coding principles, CPT coding principles, DRG assignment, APC assignment, and modifier assignment.
Working knowledge of human anatomy and physiology, disease processes.
Demonstrated knowledge of medical terminology.
Knowledge of auditing concepts and principles.
A minimum of 5 years professional coding experience required.
Quality Auditor Jobs
By Molina Healthcare At United States
Prepare well organized, easily understood reports, analysis, and summary of findings for use by management
Demonstrates problem solving and analytical skills.
Flexibility to learn and adapt to changes in procedures, techniques, and position requirements.
Develops and maintains knowledge of business policies and procedures, and assesses their impact to applications.
Works effectively in a team environment and supports the activities and success of others on the team.
Learns, comprehends, and applies information, both business and technical in a consistently satisfactory manner.
Remote - Quality Analyst /Quality Engineer
By InfoQuest Consulting Group Inc. At United States
Minimum 0 to 5 years of experience
Advise and guide the quality assurance team on effective testing strategies
Troubleshoot and triage test failures
Actively look for test coverage gaps and potential exploits
Effectively report testing results to stakeholders
Quality Assurance Auditor - Remote Opportunity
By Alliance HealthCare Services At United States
Associate's degree of equivalent experience.
6 months experience with Call Center Quality Auditing or medical scheduling/billing systems.
Knowledge of medical terminology and compliance procedures.
Excellent written and verbal communication skills.
Proficient computer skills working with MS Office and Web Based Applications.
Medical, Prescription, Dental & Vision
Compliance Research Auditor Duhs- Remote
By Talentify.io At United States
Bachelor's degree in business administration, management, healthcare administration, or related field.
Preferred: Certification in HIPAA Privacy/Security, Healthcare compliance, or relevant experience.
Manage privacy audits of operational staff’s access to patient information and investigate policy violations.
Four years of experience in legal, regulatory compliance, patient advocacy, or relevant role.
Preferred: Five years of experience in legal, clinical research, regulatory compliance, or relevant field.
In-depth knowledge of privacy regulations, including HIPAA and FDA Clinical Trials.
Associate, Auditor - Remote
By Oscar Health At United States
Significant experience with CMS, ACO/ACA, commercial compliance requirements
A completed Bachelor’s Degree in a related field or equivalent experience
Experience in a start-up and/or health tech environment
Lead efforts to update approved procedures for the Compliance Audit and Monitoring team.
Lead efforts to plan and maintain the audit schedule on an annual basis.
Complete and document audit work papers observing Oscar’s Compliance Audit Policy and Procedures.
Claims Quality Assurance Auditor I - Evicore - Remote
By The Cigna Group At United States
Work with management and staff to establish and maintain audit and quality assurance programs
1 + years of experience in claims processing required
1+ years of experience in billing and medical terminology required
1 + years of experience in Quality Assurance preferred
1 + years of experience working with at least 2 health plans, preferred
Proficiency in data entry and MS Excel required
Remote - Quality Coordinator
By One Medical At United States
Data management from payor portals to support the CP&S Analysts.
Excellent organizational, written and verbal communication skills; experience with creating presentations in PowerPoint or Google Slides.
Minimum 1 year experience working as MSS, LSS, Health Coach or Operations Assistant.
Previous experience making outbound calls to patients is required.
Demonstrated track record of strong quantitative and analytical skills required.
Knowledge of medicare quality measures is desired.
Medical Review Auditor Analyst (Remote)
By Conduent At United States
Assessing payments against regulatory or administrative charges, coding, and billing errors. Determining if fraud or inaccurate billing has occurred.
Preparing written case summaries and represents clients and Conduent as an expert witness
Developing, maintaining, and ensuring adherence to multiple project schedules.
Achieving percent of savings expectations through their review billing
Ensuring productivity goals are met daily and communicating audit findings to clients.
Participating in planning, daily meetings, and backlog sessions
Operations Quality Analyst -100% Remote
By LanceSoft, Inc. At United States
•Have experience in auditing and quality review specific to service coordination activities.
•Function as a key subject matter expert for all Community Health Choices Service Coordination activities.
•Support the Community Health Choices Service Coordination team in identifying issues for quick remediation.
•Assist in analysis oftarget audits as required.
•Utilize various technology applications related to quality review data collection and analysis. (Excel/Access/Word)
•Identify audit trends and provide recommendations.
Clinical Quality Auditor Jobs
By SQRL At United States
Provide quality management system consulting services.
Assist with Quality Management Plan development, review, and compliance oversight.
Assist with risk management plan development, review, and compliance oversight
A combination of education, training, and experience may be considered in lieu of
Agendas, and meeting minutes. Timely completion of assigned reports according to Quality System and project requirements.
Minimum of 8 years of GCP-related experience.
Remote Quality Lead Jobs
By Insight Global At United States
Very good process management skills, Lean and Six Sigma qualifications preferred
Fully remote, northeast US preferred to meet F2F at CMO occasionally
Support to assure all logistical, quality & technical elements are in place for clinical manufacturing at the respective CMOs
Focus on continuous improvement and cost saving initiatives at different CMOs and locations
Support implementation of new enabling technologies and manufacturing platforms as well as supporting the establishment of new supply chain routes
Be part of global project teams with members out of different disciplines and with different function

Are you looking for a rewarding career that allows you to work from the comfort of your own home? Become a Remote Quality Auditor and join a team of professionals who are dedicated to ensuring the highest quality standards for our clients. With flexible hours and competitive pay, this is the perfect opportunity to take your career to the next level.

Overview A Remote Quality Auditor is responsible for ensuring that products and services meet the standards of quality set by the company. They are responsible for conducting audits of products and services, both remotely and on-site, to ensure that they meet the company’s standards. They must be able to identify areas of improvement and recommend corrective action when necessary. Detailed Job Description A Remote Quality Auditor is responsible for conducting audits of products and services to ensure that they meet the company’s standards. They must be able to identify areas of improvement and recommend corrective action when necessary. They must be able to analyze data and provide feedback to management. They must be able to communicate effectively with all levels of the organization. They must be able to work independently and as part of a team. Job Skills Required
• Knowledge of quality assurance principles and practices
• Ability to analyze data and provide feedback
• Excellent communication skills
• Ability to work independently and as part of a team
• Ability to identify areas of improvement and recommend corrective action
• Knowledge of relevant regulations and standards
• Ability to use relevant software and tools
Job Qualifications
• Bachelor’s degree in Quality Assurance, Engineering, or related field
• At least 3 years of experience in Quality Assurance or related field
• Certification in Quality Assurance (e.g. ISO 9001) is preferred
Job Knowledge
• Knowledge of quality assurance principles and practices
• Knowledge of relevant regulations and standards
• Knowledge of relevant software and tools
Job Experience
• At least 3 years of experience in Quality Assurance or related field
Job Responsibilities
• Conduct audits of products and services to ensure that they meet the company’s standards
• Analyze data and provide feedback to management
• Identify areas of improvement and recommend corrective action
• Communicate effectively with all levels of the organization
• Work independently and as part of a team