Quality Assurance Auditor - Credentialing
June 3
Description
• Build a comprehensive, effective and efficient audit process • Complete initial and ongoing quality audits for credentialing applications • Perform audit reviews in a timely, efficient, and accurate manner • Provide constructive feedback and education to peers and assigned teams • Utilize audit results to identify, document, test the effectiveness of internal • processes and controls and develop sound conclusions • Track and trend audit results and notify leadership to administer appropriate team members' education and coaching.
Requirements
• 2+ years of credentialing, provider data management, auditing, or healthcare operations experience • 1 year credentialing auditing experience or similar • Professional written and verbal communication skills • Close attention to detail and ability to use audit process techniques • Knowledge of NCQA credentialing standards preferred
Benefits
• Not specified
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