| Claims Quality Auditor II Job Description |
 |
| The following is a full job description for Claims Quality Auditor II. Here are the requirements and responsibilities for Claims Quality Auditor II along with statistics. If after reading this page you determine that Claims Quality Auditor II is not the position you are looking for, you may want to try one of these similar titles: Claims Quality Auditor I, Claims Quality Auditor III, Claims Examiner II, Claims Adjuster II, Claims Supervisor II, Claims Quality Audit Manager, Claims Quality Audit Supervisor, Claims Quality Audit Director, Claims Examiner I |
|
| Requirements and Responsibilities For Claims Quality Auditor II |
| Audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Typically reports to a supervisor or a manager. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. Typically requires 4 to 7 years of related experience. |
| |
|
| Also referred to as: Claims Quality and Compliance Auditor II, Claims Quality Auditor - Intermediate |
|
| Similar Jobs: Claims Quality Auditor I, Claims Quality Auditor III, Claims Examiner II, Claims Adjuster II, Claims Supervisor II, Claims Quality Audit Manager, Claims Quality Audit Supervisor, Claims Quality Audit Director, Claims Examiner I |
|
| Level of Education: Claims Quality Auditor II Salaries with No Diploma, Claims Quality Auditor II Salaries with a High School Diploma or Technical Certificate, Claims Quality Auditor II Salaries with an Associate's Degree, Claims Quality Auditor II Salaries with a Bachelor's Degree, Claims Quality Auditor II Salaries with a Master's Degree or MBA, Claims Quality Auditor II Salaries with a JD, MD, PhD or Equivalent |
|
|
| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
