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Remote Quality Auditor Jobs in Cleveland, Arkansas

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.
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.
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
Quality Coordinator - Remote
By Naven Health At Montgomery, AL, United States
Basic Education And/or Experience Requirements
Other duties as assigned by the Manager of Quality
1yr of related healthcare quality experience
Strong communication skills - verbal, written and presentation
Excellent verbal and written communication skills within emails
Answering phones and typing skills
Quality Coordinator - Remote
By Naven Health At Nashville, TN, United States
Basic Education And/or Experience Requirements
Other duties as assigned by the Manager of Quality
1yr of related healthcare quality experience
Strong communication skills - verbal, written and presentation
Excellent verbal and written communication skills within emails
Answering phones and typing skills
Quality Auditor - Remote | Wfh
By Get It Recruit - Healthcare At Norristown, PA, United States

As a Quality Auditor, you will have a critical role in upholding the quality of our healthcare services. You will work closely with our MRT, consisting of nurse Case Managers and Medical Directors, to ...

Quality Auditor Jobs
By Plastipak Careers At , Plant City
Premium pay & benefits, including 18 days of paid time off a year!
Provide required support to Conversion in any aspect of conformance to requirements
Observe all local and Company safety policies and procedures as well as housekeeping requirements
Associates Degree or 3 years prior work experience
Must possess basic mathematical skills
Must possess strong verbal and communication skills
Quality Control Auditor Jobs
By Catalent At , Winchester, 40391
Work Experience – 3 to 5 Years in a Quality, Laboratory, Clinical or Chemical Manufacturing role (including internships or co-op experience)
Strong knowledge in Empower software
Catalent offers rewarding opportunities to further your career!
Read and understand test methods from multiple compendia (i.e. USP/NF, EP, JP), internal Catalent methods, or customer/supplier methods+
Participate in customer/agency audits as necessary
Assist in training QC Analysts
Quality Auditor Ii - Rn/Sw
By Horizon Blue Cross Blue Shield of New Jersey At , Newark, 07105 $75,300 - $100,800 a year
Completes other assigned functions, including special projects, as requested by management.
HEDIS experience is highly preferred in this role.
Prefers knowledge of audit methodologies and procedures.
Requires excellent verbal and written communication skills.
Prefers a Bachelor's degree. In lieu of degree, relevant work experience required.
Requires a minimum of three (3) years clinical nursing experience.
Quality Auditor Jobs
By Tria Federal (Tria) At , Remote
Review the work of others to assess adherence and accuracy with process requirements
Demonstrate knowledge of the healthcare industry as related to handling Health Care related calls and appointments
1+ year auditing experience in the areas of customer service or appointment scheduling (calls/tasks)
3+ years customer service Call Center experience in the healthcare industry
Intermediate experience in Microsoft Word (creating / updating documents) and Microsoft Excel (creating / updating spreadsheets, pivot tables, and formulas)
Excellent verbal and written communication skills
Quality Control Auditor Jobs
By Yamaha Motor At , Cypress, 90630
Associates degree or equivalent combination of education/experience, BA or BS degree preferred.
7+ years of consumer underwriting experience including credit and funding operations, Powersports or Auto Finance experience preferred.
Perform dealer and customer call monitoring reviews and provide summary/feedback to management.
3+ years of experience in Audits and Quality Reviews.
Excellent organizational, communication skills and attention to detail
Strong working knowledge of Microsoft office applications including Excel, Word, and PowerPoint..
Quality Control Auditor Jobs
By Whirlpool At , Fall River, 02720 $22.50 an hour
6+ months of quality work experience
Organization skills for different tasks and data collection.
1+ years of work experience of quality assurance in manufacturing environment RSRWH
Follow audit procedures to ensure critical parameters are in compliance
Perform investigations and report on findings and countermeasures.
Support assembly inspection and audits.
It Quality Analyst (Remote)
By Tandym Group At Rockville, MD, United States
Solid problem solving and time management skills
Maintain current knowledge of relevant technologies, as assigned
5+ years of related Software Testing & 508 accessibility experience
Hands-on experience working with 508 tools - JAWS, Web Accessibility Evaluation Tool (WAVE) and Color Contrast Analyser (CCA)
Excellent communication skills (written and verbal)
Test and remediate web applications for Section 508 compliance
Hedis Quality Auditor Jobs
By Community Health Group At , Chula Vista, 91914 $64,480 - $72,530 a year
Bachelor's Degree or equivalent combination of education and work experience.
Working knowledge of ICD-10/CPT/HCPCS/NDC coding, medical terminology and knowledge of managed care, claims payment processes and insurance terminology required.
Understands how to prioritize reports according to business needs, regulatory requirements, urgency and other key business factors.
Provides training and guidance to providers and staff on HEDIS technical specifications and requirements.
Minimum five years of experience in healthcare.
HEDIS reporting or collection experience.
Quality Auditor Sr - Rhrp - 3
By QTC Management, Inc. At Hobson, TX, United States
Review the case management system to identify outstanding reports and diagnostic results
Upload diagnostic results received to the case management system
Interface with operational departments to ensure customer requirements are met
Perform other duties and responsibilities as assigned
High School diploma, or equivalent (GED) or 2 years of experience in lieu
Experience in a high volume healthcare setting
Quality Auditor Jobs
By Sterling Pharma Solutions At , Germantown, 53022 From $90,000 a year
Master's degree in related field with 5+ years related experience, or equivalent educational and work experience.
Performs internal and external (supplier) quality audits against applicable standards and Sterling requirements.
Good written and oral communication skills as well as presentation skills.
Bachelor's degree in chemistry, Biology, or related field with 8+ years GMP experience or
ASQ Auditor certification or other cGMP audit certification preferred
Work Location: Hybrid remote in Germantown, WI 53022
Benefit Verification Auditor - Remote
By Orsini Specialty Pharmacy At , Elk Grove, 60007
REQUIRED KNOWLEDGE, SKILLS & TRAINING
Experience with Major Medical Insurance.
Knowledge of HCPC Codes (J-Codes).
Knowledge of ICD-10 Codes (Diagnoses Codes).
Review all benefit verification and Complex Audit forms for all complex drugs regarding new cases and new insurance
Validate benefit verification information against authorization approval information
Design Quality Manager - Remote
By Parsons At , Remote $113,100 - $219,400 a year
10 - 12+ years of design, project management, and design quality experience with 5 years of Design Quality experience preferred
Strong leadership and management skills
develop and implement Design Quality Management Plans and Procedures
Engage during the proposal phase, to describe design quality processes and procedures in response to RFP requirements
Establish, implement, and maintain a Design Quality Assurance System (DQAS) commensurate with the Project requirements and complexity of the Project
Provide training of design personnel to ensure awareness of quality procedures and specific responsibilities in the QC process
Record Integrity Auditor Editor Remote
By AdventHealth Corporate At , Altamonte Springs, 32714 $19.83 - $29.75 an hour
Bachelor’s in health information management or related field with 2 or more years of HIM Release of Information experience.
Associates degree in Health Information Management
Provide timely and consistent feedback to the AdventHealth HIM Corporate Manager/Director on vendor quality and medical staff feedback.
Monitoring M Modal Fluency Manager application to identify potential delays and address these with the appropriate Corporate/Vendor Representative.
All the benefits and perks you need for you and your family:
Mental Health Resources and Support
Sr. Gcp Qa Auditor - Remote
By Medpace, Inc. At , Raleigh, 27513
Develop audit management plans and audit strategy with clients for ongoing clinical trials.
5+ years of experience in a QA department in a related industry;
Experience conducting audits of vendors and investigative sites;
Experience hosting regulatory authorities and interacting with sponsor/client representatives;
Knowledge and application of Good Clinical Practice (GCP) is required;
Medical Device and or Phase 1 experience is a plus;
Auditor - Quality Management Systems
By The Smithers Group At , Akron, 44308

Smithers Quality Assessments (SQA) is looking to grow our talent of qualified individuals in the third-party quality and certification industry. The role of Lead Auditor is to perform third-party ...

Laboratory Quality Auditor Jobs
By Booz Allen Hamilton At , Atlanta $65,300 - $149,000 a year
4+ years of experience establishing, maintaining, or improving laboratory quality management systems
1+ years of experience with molecular biology or immunology laboratory techniques
1+ years of experience with writing laboratory documents, including SOPs
1+ years of experience with assessing laboratory operations and systems for laboratory regulatory compliance
Ability to obtain and maintain a Public Trust or Suitability/Fitness determination based on client requirements
Experience with lab quality systems, including CLIA, CAP, ISO, GLP or QSR

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