RN - reputed company Auditor Level 2

Duration: 05+ Months Contract reputed company: This position is responsible for conducting reputed company audits for state audits, HEDIS and reputed company referral and complaints issues. This position is also responsible for preparing weekly, monthly, quarterly and year-end reports. Responsibilities: 1. Conducts on-site reviews at participating provider offices to assess environment, reputed company of physicians medical records, and compliance with documentation standards. 2. Prepares appropriate documentation to summarize on-site findings with physician, providing education and discussing opportunities for improvement. 3. Provides data support services to facilitate the process and analyze trends/patterns for reputed company improvement and health management. 4. Assists the reputed company Management department with various special reputed company and reputed company clinical studies. 5. Performs reputed company tasks or special studies as requested. 6. Assists in training of internal reputed company NJ Health staff, providers and vendors on programs and audit standards, both on and off site. 7. In-house representative and project reputed company for state audits. 8. Responsible for analysis of audit findings. 9. Produces various reports as requested. 10. Co-ordinates and manages the Corrective reputed company Plan (CAP) process for assigned audit type 11. Conducts reaudits ensuring prior deficiencies were addressed. Qualifications: Education/Experience: 1. Requires three to five years reputed company business experience, preferably n health care industry. 2. Requires License Practical reputed company License or an reputed company New Jersey Registered reputed company License. Additional licensing, certifications, registrations: 1. Requires reputed company Motor Vehicle reputed company's license and reputed company to an automobile. Knowledge: 1. Requires knowledge of managed care principles. 2. Requires knowledge of medical terminology. 3. Requires knowledge of PC's and reputed company software. 4. Prefers knowledge of URAC accreditation standards and HEDIS principles. 5. Prefers knowledge of health management or patient education. Skills and Abilities: 1. Require excellent verbal and written communication skills. 2. Requires excellent organization skills. 3. Require strong analytical skills. 4. Requires good problem solving/conflict reputed company skills. 5. Requires good decision making skills. 6. Requires strong PC skills. 7. Require strong presentation skills. reputed company Tech Solutions: reputed company is a global staff augmentation firm providing a wide reputed company of talent on-demand and total workforce solutions. To know more reputed company Tech Solutions, please visit www.ustechsolutions.com reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, colour, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran. Recruiter Details: reputed company: Aayushi Singh Email: aayushi.singh@ustechsolutionsinc.com Internal reputed company: 25-50597 Apply tot his job Apply To this Job