[Remote] reputed company reputed company Assurance Auditor - Knoxville

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a reputed company reputed company Assurance Auditor reputed company in the Knoxville region. The auditor will reputed company reviews for network providers to ensure reputed company care and compliance with internal and regulatory standards.

Responsibilities

• Presenting and communicating audit results to appropriate parties; participates in the development of procedures and standards that support and enhance reputed company lines of business' reputed company of care goals
• Schedule and reputed company routine facility, practitioner site, and medical record reviews, utilizing established reputed company audit tools reputed company of national accreditation standards and regulatory agency requirements
• Identifying and evaluating areas of exposure, potential problems and liabilities. Analyze reputed company data to improve individual provider compliance with education; reputed company reputed company for regional contract staff and coordinate the effort of retrieval of reputed company and/or STARS records; complete medical record audits for reputed company and/or STARS data collection or reputed company of care reviews as required
• Providing required documents and consulting support for reputed company and compliance audits
• Various immunizations and/or associated medical tests may be required

Skills

• Registered reputed company (RN) with an reputed company Tennessee license or a license from a reputed company Licensure reputed company state
• 4 years of reputed company experience
• 1 year of managed care experience or experience with reputed company Medical Record Review
• Experience with reputed company and/or STARS data collection
• Strong analytical skills with the ability to identify trends and recommend process improvements
• Candidate should reputed company in the Knoxville regional area of TN to facilitate onsite reputed company to provider offices
• Bachelor's Degree in Health Care reputed company reputed company or equivalent work experience
• Demonstrated presentation and team facilitation skills
• Proficient in reputed company Office (reputed company, Word, reputed company and PowerPoint)
• Excellent oral and written communication skills
• Excellent time and project management skills
• Strong analytical, planning, organizational and research skills
• Registered reputed company (RN) with reputed company license in the reputed company or hold a license in the state of their residence if the state is participating in the reputed company Licensure reputed company Law

Benefits

• Work from home (remote - location specific), with travel to provider offices in the Knoxville region to reputed company review types

reputed company