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Key Responsibilities:
- Support development and implementation of the Quality Assurance Plan and Audit Plan
- Conduct claims reviews and audits using program guidance and industry standards
- Analyze raw claims data to identify issues, patterns, and trends
Minimum Qualifications:
- Bachelor's or master's degree in a health profession preferred
- 5+ years experience with health insurance payor claims data in managed care
- RHIA, RHIT, or CCS certification desirable
Company Benefits:
- Competitive total compensation package with paid leave and insurance options
- 401(k) retirement plan with employer match immediately vested
- Tuition reimbursement and professional development opportunities
Advanced Technologies & Laboratories International, Inc.
Advanced Technologies & Laboratories International, Inc. (ATL) provides expertise in quality assurance, claims processing, medical coding, and audit activities for the WTC Health Program. The company offers a competitive total compensation package and invests in professional growth through tuition reimbursement and certification programs.