Clinical Quality Auditor

Seeking a Clinical Quality Auditor (Medical Field) for a busy medical consulting company in Houston - Contract to Hire and fully in office

Key Responsibilities

• Maintain a thorough understanding of the dispute resolution process, current regulations, and updates to regulations.
• Conduct continuous analysis/audits of the arbitrators’ findings to ensure compliance with the industry’s regulations.
• Ability to ensure timely completion of all components of the audit.
• Track trend data over time to determine if performance standards are being met.
• Track and respond to requests from arbitrators by submitting all supporting documentation to assigned arbitrators.
• Submit arbitrators’ final determinations through the appropriate computer systems.
• Ability to meet deliverables, quality assurance and methodology standards.

Qualifications

• Knowledge of dispute resolution/arbitration process
• Strong communication skills
• Familiarity with emergency room and hospital coding/billing processes
• Medical coding or Paralegal experience is preferred

As a RemX Clinical Quality Auditor We Offer You:

• Competitive pay
• Paid weekly (Direct Deposit or ATM Debit Card available)
• Access to health benefits and retirement plan
• A personal recruiter to help with job searches and assistance when at work!
• Contract to Hire Opportunity