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Quality Assurance Auditor
A company is looking for a QA Auditor, Appeals and Grievances. Key Responsibilities Conduct quality audits of appeals and grievances, analyzing errors and determining root causes Record and track quality assessment scores, providing feedback to improve processes and performance Review and investigate appeals and grievances to ensure compliant resolution Required Qualifications Experience with investigation, resolution, and reporting of appeal and grievance processes Proficiency in Microsoft Office Suite, particularly Excel, Word, and PowerPoint High School Diploma or GED from an accredited institution Associate degree from an accredited institution (preferred) ICD10 certification and experience in an auditing capacity (preferred)
A company is looking for a QA Auditor, Appeals and Grievances.
Key Responsibilities
Conduct quality audits of appeals and grievances, analyzing errors and determining root causes
Record and track quality assessment scores, providing feedback to improve processes and performance
Review and investigate appeals and grievances to ensure compliant resolution
Required Qualifications
Experience with investigation, resolution, and reporting of appeal and grievance processes
Proficiency in Microsoft Office Suite, particularly Excel, Word, and PowerPoint
High School Diploma or GED from an accredited institution
Associate degree from an accredited institution (preferred)
ICD10 certification and experience in an auditing capacity (preferred)