Medical Auditor in Albuquerque, NM at Volt

Date Posted: 6/13/2021

Job Snapshot

Job Description

You Deserve a Job you Love!

Volt Workforce Solutions is seeking a dependable candidate for a great positoin as a Medical Auditor.

This is a Full Time position 40 hours per week and the schedule is Monday - Friday however the daily work hours are flexible with management approval. 

Job Duties:

  •  Function as a clinical reviewer for HHC ACA risk adjustment and Medicare Advantage risk adjustment audits to inspect clinical records for the presence of documentation to support the validity of claims data submitted.
  • Discern when missing medical record gaps exist and assist in directing requests for additional records.
  • Some claims inspection/research is required

Requirements;

  • Ability to work in a database environment with multiple applications simultaneously.
  • RN or LPN required
  • Experience in clinical auditing or medical record review preferred
  • Familiarity with claims investigation or research helpful
  • Awareness of claims processes and claims processing systems

Don't Wait!  Apply Today!

Volt is an Equal Opportunity Employer!

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