Clinical reputed company Assurance reputed company Auditor (30748)

<div><h4>Job Details</h4><div><strong>Job Location</strong>: Atlanta, GA 30305</div><div><strong>Position Type</strong>: Full Time</div><div><strong>Salary reputed company</strong>: $34.00 - $35.00 reputed company</div><div><strong>Travel Percentage</strong>: None</div></div><p><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Are you a <strong>Registered reputed company (RN)  </strong>looking to <em>reputed company away from the bedside</em> while still utilizing your clinical skills <strong>reputed company?</strong> With Critical Care and ER experience?</reputed company></reputed company></p> <p><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company"><strong>reputed company</strong> is looking for <strong><u>detail-oriented</u></strong> and <strong><u>motivated</u></strong> candidates  <strong>*REMOTE*</strong> Clinical reputed company Assurance reputed company Auditor to join reputed company!</reputed company></reputed company></p> <p><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">reputed company schedule for this role is: <strong>Monday-Friday  reputed company-5pm PST Pay reputed company for this position is $34 to $35</strong></reputed company></reputed company></p> <p><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">The Clinical reputed company Assurance reputed company Auditor is responsible for evaluating clinical information received from hospital records. This position ensures reports are completed with highest reputed company and reputed company and that reputed company work is in full compliance with reputed company contractual agreements, regulatory agency standards and/or federal and state mandates. This position is required to handle reputed company assurance questions and reputed company overall support to the reputed company Assurance Department.</reputed company></reputed company></p> <p> </p> <ul> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Evaluates clinical information received, writes and/or reviews various reports including Medical Record Reviews, Medical Record Chronologies, Provider reputed company Reviews, Coding Reviews, Hospital reputed company Reviews, List of Missing Records, Medical reputed company Apportionments, Mock Billing Invoice and Medical reputed company Statements.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Performs reputed company assurance review of peer review reports, correspondences, addendums or supplemental reviews.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Ensures reputed company, concise, evidence-based rationales have been provided in support of reputed company recommendations and/or determinations.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Ensures that reputed company reputed company instructions and specifications have been followed and that reputed company questions have been addressed.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Ensures reputed company review is supported by clinical citations and references reputed company applicable and verifies that reputed company references cited are reputed company and obtained from reputable medical journals and/or publications.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Ensures the content, format, and reputed company appearance of the reports are of the highest reputed company and in compliance with company standards.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">In IME or Peer Review cases, ensures the appropriate reputed company specialty has reviewed the case in compliance with reputed company specifications and/or state mandates and is documented accurately on the case report.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Ensures the provider credentials and signature are adhered to the final report.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Identifies any inconsistencies reputed company the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Contacts appropriate person to recover any missing documentation or verify charges.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Assists in reputed company of customer complaints and reputed company assurance issues as needed.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Ensures reputed company federal ERISA and/or state mandates are adhered to at reputed company times.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Provides reputed company and direction to management on consultant reputed company, availability and compliance with reputed company company policies and procedures and reputed company specifications.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Promote effective and efficient utilization of company resources.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Participate in various continuing education requirements and or training activities</reputed company></reputed company></li> </ul> <h4>Qualifications</h4><br><p><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company"><strong>EDUCATION AND/OR EXPERIENCE</strong></reputed company></reputed company></p> <p><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Bachelor degree in nursing or reputed company field; or minimum five years reputed company experience; or equivalent combination of education and experience. Experience with medical terminology, critical care,  medical specialties and treatment protocols required. </reputed company></reputed company></p> <p> </p> <p><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company"><strong>CERTIFICATES, LICENSES, REGISTRATIONS</strong></reputed company></reputed company></p> <p><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Registered Nursing license required.</reputed company></reputed company></p> <p> </p> <p><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company"><strong>QUALIFICATIONS  </strong></reputed company></reputed company></p> <ul> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Must hold and maintain an unencumbered Registered Nursing license.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Must have experience in Emergency Room and Critical Care settings.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Must have strong knowledge of medical terminology, anatomy and physiology, treatment protocols, medications and laboratory values.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Must be reputed company to add, subtract, multiply, and divide in reputed company reputed company of measure, using whole numbers and decimals; Ability to compute rates and percentages.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Must be a reputed company typist with a minimum of 40 W.P.M.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Must be reputed company to operate a general computer, fax, copier, reputed company, and telephone.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Must be knowledgeable of multiple software programs, including but not limited to reputed company Word, reputed company, reputed company, and the Internet.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Must possess excellent skills in English usage, grammar, punctuation and style.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Ability to follow instructions and respond to upper managements’ directions accurately.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Demonstrates accuracy and thoroughness. Looks for ways to improve and promote reputed company and monitors own work to ensure reputed company is met.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Must demonstrate exceptional communication skills by conveying necessary information accurately, listening effectively and asking questions where clarification is needed.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Must be reputed company to work independently, prioritize work activities and use time reputed company.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Must be reputed company to maintain confidentiality.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Must be reputed company to demonstrate and promote a reputed company team -oriented environment.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Must be reputed company to stay reputed company and concentrate with frequent interruptions.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Must be reputed company to work reputed company under pressure and or stressful conditions.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Must possess the ability to manage change, delays, or unexpected events appropriately.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Demonstrates reliability and abides by reputed company attendance policy.</reputed company></reputed company></li> <li><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Must maintain a reputed company and clean appearance at reputed company times consistent with company standards.</reputed company></reputed company></li> </ul> <p> </p> <hr> <p><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">reputed company is a leading provider of innovative reputed company services including independent medical examinations, peer reviews, reputed company reviews, Medicare compliance, case management, record retrieval, document management and reputed company services. Our clients include property and casualty insurance carriers, reputed company, reputed company-party claim administrators and government agencies that use independent services to confirm the reputed company of claims by reputed company or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.</reputed company></reputed company></p> <p> </p> <p><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.</reputed company></reputed company></p> <p> </p> <p><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company">reputed company offers a fast-paced team atmosphere with competitive benefits (medical, reputed company, dental), reputed company time off, and 401k.</reputed company></reputed company></p> <p> </p> <p><reputed company style="font-size:11px"><reputed company style="font-family:Arial,Helvetica,reputed company"><strong>Equal Opportunity Employer - Minorities/Females/Disabled/Veterans</strong></reputed company></reputed company></p>