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- Conducts audits in the operational areas to include:
- Monthly audits to monitor controls and performance.
- Document and review findings with operational staff and management.
- Track audit results and spot error trends to identify training needs and process improvements.
- Perform other functions to include:
- Identify specific case/scenarios beneficial for information sharing and lead discussions of case/scenario in unit meetings.
- Conducts audit for new hires and operational staff learning new functions, transitioning to new system changes or processing procedures.
- Develop reference and training documentation.
- Review documents and attend meetings relating to business requirements or system changes.
- Regularly participate in process and operational improvement activities.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
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#LI-Hybrid
Qualifications
- Associate's degree and one year of related work experience; or an equivalent combination of education and related work experience.
- Good verbal and written communications skills.
- Working knowledge of medical terminology, health industry coding systems (procedure and diagnosis codes, etc.), CMS1500 or UB04 claim forms.
- Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, PowerPoint, and Outlook.
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