Quality Auditor (QA)

Department Icon Audit & Control
Posted: 2 weeks ago
3-8 years
Pune(Viman Nagar)
Audit & Control
work from office
Full Time
Closes 27 Dec 2026

Posted: 2 weeks ago
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Posted over 15 days ago, so the role may have closed. Confirm on the employer's page when you apply, or see similar jobs.

Job Description

  • Good Healthcare knowledge -Payer industry
  • Preferred to perform claim audits in HRP or Facets applications to ensure accuracy and compliance.
  • Able to do error analysis, RCA, and CAPA implementation to support accuracy improvement
  • Handle rebuttals, feedback, and coaching to drive performance improvement.
  • Prepare and maintain audit reports, dashboards, and error logs.
  • Communicate audit findings effectively and collaborate with stakeholders for process improvements.
  • Ensure adherence to SOPs, client requirements, and quality standards

Skills

AdjudicationQuality AuditQuality AssuranceFactQualityHealthcareAuditingClaims AdjudicationAuditAudit FindingsAudit ReportsAuditsCapaCapa ImplementationSopsQa

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About Company

MDI NetworX is a healthcare IT and BPO services company specializing in medical billing, coding, revenue cycle management (RCM), and healthcare administration solutions.

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