Senior Regulatory Coordinator

Job Summary

A company is looking for a Senior Regulatory Adherence Coordinator, National Remote.

Key Responsibilities

• Conducts quality audits of medical management documentation to identify errors or missing information
• Investigates audit performance findings and problems with assistance from others
• Participates in inter-rater reliability exercises to ensure audit consistency

Required Qualifications

• High School Diploma/GED (or higher)
• 2+ years of clinical experience
• 1+ years of experience in managed care or the insurance industry
• Ability to evaluate medical records for quality audits