Claims Quality Audit Director Salary in Westborough, Massachusetts

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Average Salary for Claims Quality Audit Director in Westborough, Massachusetts

The average salary of a(n) Claims Quality Audit Director in Westborough, Massachusetts is $81,750.

The average hourly rate of a(n) Claims Quality Audit Director in Westborough, Massachusetts is $39.30.

The average bonus of a(n) Claims Quality Audit Director in Westborough, Massachusetts is $3,188.00.

Job Description:

Directs the Claims Quality Audit Department and provides managerial oversight to employees engaged in claims auditing and training. Approves department policies, practices, and procedures to ensure identification of claims processing errors. Provides planning, organizing, and budgeting for the department. Typically requires a college degree in a related field and an in-depth understanding of claims auditing. Provides oversight of departmental training and auditing activities. Monitors departmental operations to ensure compliance with regulatory agencies and contractual obligations. Develops strategic initiatives and transforms initiatives into action plans. Hires, trains, and motivates a qualified management staff. Oversees the development of training programs that are targeted toward error reduction and decision quality in claims processing. Analyzes audit and training reports to determine department effectiveness. Less

Directs the Claims Quality Audit Department and provides managerial oversight to employees engaged in claims auditing and training. Approves department policies, practices, and procedures to ensure identification of claims processing errors. Provides planning, organizing, and budgeting for the department. Typically... More

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Results for Claims Quality Audit Director in Westborough, Massachusetts

Data Analyst - Medical Claims Background - Worcester, MA

Fallon Health

Claims, Enrollment, Regulatory, Internal Audit, Accounting, Underwriting, Medical Economics Proficient in healthcare industry EDI standards and regulations...

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Claims QA Auditor - Shrewsbury, MA

University of Massachusetts Medical School

They will conduct quality audits of claims pre & post payment. Perform routine and random sampling audits of adjudicated claims to identify inaccurate claims...

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Internal Audit Claims Auditor - Worcester, MA

Fallon Health

Under the general supervision of the Internal Audit Director, conduct audits of claims payment for accuracy and compliance with existing policies and contracts....

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Inpatient Coder - Leominster, MA

HealthAlliance Hospital

Participates in quarterly UMASS Coding Compliance Audit. Attends Hospital intradepartmental meetings at the request of Coding Supervisor or HIS Director....

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Training and Quality Specialist - Worcester, MA

AllCare Plus Pharmacy, Inc.

Continuous Quality Monitoring and Improvement. Participates (10% of responsibilities) as a member of the Quality Management Committee to provide quality...

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