Quality Control Analyst
Company: VirtualVocations
Location: Bell Gardens
Posted on: May 3, 2025
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Job Description:
A company is looking for a Quality Control Analyst - Remote.
Key Responsibilities
Audit claims for accuracy, including complex and high dollar
claims, and review dispute requests from providers
Identify system configuration issues affecting claims processing
and communicate with relevant internal departments
Create detailed audit findings and recommendations, and conduct
retrospective audits of paid claims
Required Qualifications
High school diploma or equivalent required; Bachelor's degree in
Finance or Accounting preferred
5 years of experience as a Quality Control Analyst
2-3 years of experience as a Claims Adjuster
Strong knowledge of Managed Healthcare and coding regulations (CPT,
RBRVS, DRG, HCPCS, ICD-9, ICD-10)
No certification required
Keywords: VirtualVocations, Chula Vista , Quality Control Analyst, Professions , Bell Gardens, California
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