Quality Control Auditor

Company: Iconma, L.L.C.
Location: Rancho Cucamonga
Posted on: May 3, 2021

Job Description:

Quality Control Auditor

Location: Rancho Cucamonga, CA

Duration: 3-4 months

Description:

Position Summary:

• Ensures the integrity of outside medical payments for the Organization through verification of the accuracy of data-entered information and by auditing service-related information and invoice adjudication/payment for compliance with contract terms and Department and Regional Policies and Procedures.

Education/License/Certification:

• Bachelor's degree, or equivalent experience, in Business Administration or related field.

Qualifications:

• Minimum of 1-5 years of auditing experience.
• Proficient knowledge of mainframe, on-line computer systems, personal computers and spreadsheet and word processing programs.
• Strong mathematical skills.
• Medical terminology and knowledge of medical billing practices
• Prior experience in account payable/claims environment preferred.
• Good oral and written communication skills.

Duties:

Auditing Hospital and Medical office encounters daily and provides findings to the Director.

Ensures that audit staff tests payments for accuracy according to departmental policies and management guidelines.

Traces sources of inaccuracies; reports and proposes remedial action to appropriate management.

Ensures charity Care (MFA) encounters

Prepares formal statistical summaries to department manager of findings and recommendations.

Additional Job Details:

Medical Claims Quality Auditor experience. System experience: Tapestry/EPIC. Flexible day schedule

• Strong communication
• Flexible
• Organized and professional
• Team work (easy to work with)

Looking for someone who has Medical Claims Auditor experience. Quick Learner and has worked on Tapestry/EPIC systems.

• Education: High School

As an equal opportunity employer, ICONMA prides itself on creating an employment

environment that supports and encourages the abilities of all persons regardless of race,

color, gender, age, sexual orientation, citizenship, or disability.

Keywords: Iconma, L.L.C., Rancho Cucamonga , Quality Control Auditor, Other , Rancho Cucamonga, California