Claims Quality Auditor jobs in Anchorage, AK

Claims Quality Auditor audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Being a Claims Quality Auditor makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Additionally, Claims Quality Auditor typically reports to a supervisor or a manager. The Claims Quality Auditor gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Quality Auditor typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Patient Registration Quality Assurance Auditor/Trainer - Patient Access
  • Alaska Native Tribal Health Consortium
  • Anchorage, AK FULL_TIME
  • The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction.

    ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska’s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation’s largest state.

    Our vision: Alaska Native people are the healthiest people in the world.

    Benefits include:

    • Generous Paid Time Off and holiday schedule with 4 weeks paid vacation per year to start and 12 paid holidays.
    • More than 19 Federal healthcare plans with plans for employee, employee plus one, and employee plus family available. ANTHC covers 80% of all health insurance premiums and 100% of Short-Term Disability, Long-Term Disability, Dental, Vision, Basic Life, and AD&D.
    • 401(a) retirement plan; ANTHC will contribute 3% of your annual compensation to the plan account each year, with up to an additional 5% match with a 6-year vesting schedule.
    • 403(b) retirement savings plan with pre-tax and Roth options. Flexible Spending Accounts for Health Care and Dependent care are also available.
    • Onsite Child Care is available in a brand new education facility.
    • Onsite free gym access. Additional gym, rock climbing wall and salt-water pool available at the Alaska Pacific University for a small fee per semester. Steep discounts on outdoor equipment rentals for your Alaskan adventures!
    • Tuition reductions for employees and their eligible dependents at the Alaska Pacific University.

    or contact Recruitment directly at HRRecruiting@anthc.org.

    Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.


    Summary:
    Under minimal supervision, this position is responsible for training, monitoring and auditing patient admissions, registration activities, productivity reports and training staff to ensure quality and compliance throughout the department.

    Responsibilities:

    Acts as lead trainer for all staff to ensure competencies with processes and procedures in the Patient Registration Department.
    P erforms audit duties to ensure quality within the Patient Registration processes and daily workflows.
    R esponsible for data collection and dissemination, determining any trends, and providing feedback to employees and management. Identifies areas of improvement and participates in developing strategies to drive team performance. Responsible for the development, implementation, and maintenance of a comprehensive quality assurance system within the Patient Registration Department. Develop program improvement plans with input and feedback from Managers and/or Supervisors in Patient Registration Department.
    A ssess the various monitoring tools and when necessary, create effective quality assurance tools to evaluate and assess staff training needs that will lead to individual and team performance benchmark settings.
    C onduct Quality Assurance program audits and make written recommendations of improvement to management based on audit findings.
    P rovide quick, pro-active response to ensure correct processes and procedures are being followed throughout the Patient Registration Department within Patient Access.
    R eviews charts and encounters to assure the record is complete and accurate, including signatures and supporting documentation; Ensures information and required documents have been obtained to meet eligibility criteria.
    M aintains the confidentiality of patient records and complies with all laws and policies of patient confidentiality.
    S upports Patient Registration leadership in developing current and long-range Patient Registration goals and objectives, and in the achievement of those goals and objectives.
    M ust be willing to work evenings, weekends and at different locations.
    P erforms other duties as assigned by management.

    Other information:

    KNOWLEDGE and SKILLS
    • K nowledge of Alaska Tribal Health System, ANTHC, and Alaska Native culture(s).
    • K nowledge of HIPPA rules and regulations and State and Federal privacy laws.
    • K nowledge of current healthcare trends, policies and regulations.
    • K nowledge of the principles and practices of medical file and records management.
    • K nowledge of basic medical terminology and clinic systems.
    • K nowledge of Patient Registration workflows, systems, and policies.
    • C omprehensive knowledge of computer, database, and network technologies.
    • S kill in verbal and written communication.
    • S kill in operating office equipment such as copiers and fax machines.
    • S kill in establishing and maintaining cooperative working relationships with other employees.
    • S kill in reviewing, researching, processing, and troubleshooting difficult matters.
    • S kill in managing multiple priorities and tasks concurrently and meeting deadlines.
    • A bility to adjust communication styles to audience.

    M INIMUM EDUCATION QUALIFICATION
    A high school diploma or GED equivalent.
    M INIMUM EXPERIENCE QUALIFICATION
    N on-supervisory: Four (4) years’ experience in patient registration in a hospital setting.
    P REFERRED EDUCATION QUALIFICATION
    A ssociates degree in the health sciences or business administration fields.
    P REFERRED CERTIFICATION QUALIFICATION
    C urrent Certified Healthcare Access Associate (CHAA) OR Active membership in National Association of Healthcare Access Management (NAHAM)
    P REFERRED EXPERIENCE QUALIFICATION
    O ne (1) year of supervisory experience within the Patient Registration field.

  • 1 Day Ago

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RN Clinical Bethel, AK
  • Quality Clinicians
  • Bethel, AK FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1790-$2790/week Multiple shift openings Job Description/Responsibilities...
  • 4 Days Ago

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RN ED - Emergency Department Bethel, AK
  • Quality Clinicians
  • Bethel, AK FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1807-$2807/week Multiple shift openings Job Description/Responsibilities...
  • 5 Days Ago

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RN ED - Emergency Department Cordova, AK
  • Quality Clinicians
  • Cordova, AK FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1509-$2509/week Multiple shift openings Job Description/Responsibilities...
  • 5 Days Ago

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RN Labor and Delivery Kodiak, AK
  • Quality Clinicians
  • Kodiak, AK FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1948-$2948/week Multiple shift openings Job Description/Responsibilities...
  • 5 Days Ago

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LVN/LPN LPN / LVN Bethel, AK
  • Quality Clinicians
  • Bethel, AK FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $715.5-$1715.5/week Multiple shift openings Job Description/Responsibilit...
  • 6 Days Ago

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0 Claims Quality Auditor jobs found in Anchorage, AK area

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Project Manager
  • Internal Revenue Service
  • Anchorage, AK
  • Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT ...
  • 4/19/2024 12:00:00 AM

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Project Internal Quality Auditor
  • OakTree Staffing
  • Anchorage, AK
  • Job Description Job Description Project Internal Quality Auditor Location: Anchorage, AK Description: This position is r...
  • 4/17/2024 12:00:00 AM

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Assistant General Manager
  • My Place Hotels
  • Anchorage, AK
  • Summary The Assistant Manager assists the General Manager in providing high quality, courteous, efficient service to all...
  • 4/17/2024 12:00:00 AM

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Imaging Systems Administrator
  • Hca Healthcare
  • Anchorage, AK
  • Classification: Contract to Hire Contract Length: 3 months Job ID: 16413417 Location: Anchorage, AK CereCore provides EH...
  • 4/16/2024 12:00:00 AM

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Executive Administrative Assistant
  • Calista Corporation
  • Anchorage, AK
  • Calista Corporation Regular JOB SUMMARY The Executive Administrative Assistant is responsible for providing a high level...
  • 4/16/2024 12:00:00 AM

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Internal Revenue Agent (Senior Revenue Agent Examiner) - 12 Month Roster
  • Internal Revenue Service
  • Anchorage, AK
  • Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT ...
  • 4/16/2024 12:00:00 AM

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Outpatient Medical Coding
  • Akahi Associates, LLC
  • Jber, AK
  • Overview: Location: Elmendorf, Alaska - Remote/Onsite Pay rate: $24-$28/hr +$4.57/hw Work Schedule: Monday through Frida...
  • 4/15/2024 12:00:00 AM

Anchorage (officially called the Municipality of Anchorage; Dena'ina: Dgheyaytnu) is a unified home rule municipality in the U.S. state of Alaska. With an estimated 298,192 residents in 2016, it is Alaska's most populous city and contains more than 40 percent of the state's total population; among the 50 states, only New York has a higher percentage of residents who live in its most populous city. All together, the Anchorage metropolitan area, which combines Anchorage with the neighboring Matanuska-Susitna Borough, had a population of 401,635 in 2016, which accounts for more than half of the s...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$50,669 to $62,104
Anchorage, Alaska area prices
were up 2.8% from a year ago

Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019