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)
SQA is a leading Quality Assurance and Supply Chain solutions firm. SQA manages Supplier Audit and Supplier Development programs for clients in quality-critical industries, including Pharmaceutical, Medical Device, Automotive, Aerospace, and Electronics manufacturing. Clients leverage SQA’s network of Quality Professionals in more than 90 countries as an extension of their own Supplier Quality teams.
Description and Requirements:
Auditor will be responsible for performing Quality System and GMP compliance Audits of Suppliers to the healthcare / life science manufacturing industries. The overall goal of SQA’s Supplier Audit programs is to mitigate risk across our client supply chains. Supplier Audits typically last one, two, or three days on-site, not including audit report generation.
The right candidate must be familiar with pharmaceutical, medical device or related manufacturing processes and be thoroughly familiar with GMP regulations. The auditor must have strong QMS/GMP Auditing experience having conducted many Supplier or External audits throughout his or her career.
Relevant quality standards and audit types include, but are not limited to:
Audit Standards:
21 CFR 210/211
21 CFR 203 Prescription Drug Marketing: Drug Sample Storage and Handling Requirements
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