Quality Control Auditor
$28.85 - $33.65/hr
Description JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for performing detailed audits of claims processing activities to ensure accuracy, regulatory compliance, and ...
$28.85 - $33.65/hr
Description JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for performing detailed audits of claims processing activities to ensure accuracy, regulatory compliance, and ...
$28.85 - $33.65/hr
Description JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for performing detailed audits of claims processing activities to ensure accuracy, regulatory compliance, and ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for performing detailed audits of claims processing activities to ensure accuracy, regulatory compliance, and adherence to ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
JOB SUMMARY The Quality Control Auditor - Claims Management is responsible for performing detailed audits of claims processing activities to ensure accuracy, regulatory compliance, and adherence to ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
The Quality Control Auditor supports delegated managed care compliance by auditing claims in accordance with health plan contracts, coding standards, reimbursement methodologies, and applicable ...
San Bernardino, CA · On-site
$28.85 - $33.65/hr
The Quality Control Auditor supports delegated managed care compliance by auditing claims in accordance with health plan contracts, coding standards, reimbursement methodologies, and applicable ...
Be Seen First
Los Angeles, CA · On-site
$21/hr
Position Summary The Quality Control Auditor is responsible for inspecting imported production once it arrives at the domestic office. This role ensures all garments meet company quality standards ...
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Be Seen First
Los Angeles, CA · On-site
$21/hr
Position Summary The Quality Control Auditor is responsible for inspecting imported production once it arrives at the domestic office. This role ensures all garments meet company quality standards ...
Millville, NJ · On-site
Position: QC Auditor Work Location: Millville, NJ 08332 Payrate: $23.61/hr Duration: 3+ Months role with high chances of extension/conversion Shift: Wednesday to Thursday 3:00pm - 11:00pm Friday - 7 ...
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Millville, NJ · On-site
Position: QC Auditor Work Location: Millville, NJ 08332 Payrate: $23.61/hr Duration: 3+ Months role with high chances of extension/conversion Shift: Wednesday to Thursday 3:00pm - 11:00pm Friday - 7 ...
Apply Early
Canonsburg, PA · On-site
As a Quality Control Auditor, your strong attention to detail will allow you to conduct quality control reviews of residential loan production files including closed loan audits, FHA/VA audits and ...
Canonsburg, PA · On-site
As a Quality Control Auditor, your strong attention to detail will allow you to conduct quality control reviews of residential loan production files including closed loan audits, FHA/VA audits and ...
Jacksonville, FL · On-site
Quality Control Auditors must have hand/eye coordination and ability to stand for prolonged periods of time * Quality Control Auditors must also be able to complete task in a timely manner with a ...
Jacksonville, FL · On-site
Quality Control Auditors must have hand/eye coordination and ability to stand for prolonged periods of time * Quality Control Auditors must also be able to complete task in a timely manner with a ...
Quality Control Auditors must have hand/eye coordination and ability to stand for prolonged periods of time * Quality Control Auditors must also be able to complete task in a timely manner with a ...
Quality Control Auditors must have hand/eye coordination and ability to stand for prolonged periods of time * Quality Control Auditors must also be able to complete task in a timely manner with a ...
$27 - $43/hr
Arc Home is excited to add a Quality Control Auditor to our team to work standard business hours in the time zone in which you live within the US. Wholesale and/or Non-delegated Correspondent ...
$27 - $43/hr
Arc Home is excited to add a Quality Control Auditor to our team to work standard business hours in the time zone in which you live within the US. Wholesale and/or Non-delegated Correspondent ...
Wilmington, OH · On-site
The QC Auditor is responsible for following work instructions, and inspection standards as directed by QC leadership. QC Auditor is responsible for acting in the best interest of quality of the parts ...
Wilmington, OH · On-site
The QC Auditor is responsible for following work instructions, and inspection standards as directed by QC leadership. QC Auditor is responsible for acting in the best interest of quality of the parts ...
Bronx, NY · On-site
The QC Auditor (Quality Control Auditor) is responsible for ensuring product quality, freshness, integrity, and specification compliance throughout warehouse and operational areas. This role conducts ...
Bronx, NY · On-site
The QC Auditor (Quality Control Auditor) is responsible for ensuring product quality, freshness, integrity, and specification compliance throughout warehouse and operational areas. This role conducts ...
Bronx, NY · On-site
The QC Auditor (Quality Control Auditor) is responsible for ensuring product quality, freshness, integrity, and specification compliance throughout warehouse and operational areas. This role conducts ...
Bronx, NY · On-site
The QC Auditor (Quality Control Auditor) is responsible for ensuring product quality, freshness, integrity, and specification compliance throughout warehouse and operational areas. This role conducts ...
Wilmington, OH · On-site
The QC Auditor is responsible for following work instructions, and inspection standards as directed by QC leadership. QC Auditor is responsible for acting in the best interest of quality of the parts ...
Wilmington, OH · On-site
The QC Auditor is responsible for following work instructions, and inspection standards as directed by QC leadership. QC Auditor is responsible for acting in the best interest of quality of the parts ...
Bronx, NY · On-site
The QC Auditor (Quality Control Auditor) is responsible for ensuring product quality, freshness, integrity, and specification compliance throughout warehouse and operational areas. This role conducts ...
Bronx, NY · On-site
The QC Auditor (Quality Control Auditor) is responsible for ensuring product quality, freshness, integrity, and specification compliance throughout warehouse and operational areas. This role conducts ...
Austin, TX · On-site
Horton, Inc. is currently looking for a Special Projects Quality Control Auditor for their Financial Services Quality Control Department. The right candidate will provide support to the Quality ...
Austin, TX · On-site
Horton, Inc. is currently looking for a Special Projects Quality Control Auditor for their Financial Services Quality Control Department. The right candidate will provide support to the Quality ...
As a Quality Control Auditor, your strong attention to detail will allow you to conduct quality control reviews of residential loan production files including closed loan audits, FHA/VA audits and ...
As a Quality Control Auditor, your strong attention to detail will allow you to conduct quality control reviews of residential loan production files including closed loan audits, FHA/VA audits and ...
Lebanon, OH · On-site
Promotes teamwork and Company policies within the Q.C. department, and on the manufacturing floor. QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform ...
Lebanon, OH · On-site
Promotes teamwork and Company policies within the Q.C. department, and on the manufacturing floor. QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform ...
Litchfield Park, AZ · On-site
Developing and utilizing industry-standard inventory control methods, such as just-in-time (JIT) or first-in, first-out (FIFO) approaches * Ensure all items in the warehouse are appropriately ...
Litchfield Park, AZ · On-site
Developing and utilizing industry-standard inventory control methods, such as just-in-time (JIT) or first-in, first-out (FIFO) approaches * Ensure all items in the warehouse are appropriately ...
Quality Control Auditor Location: Henderson, NV Job Type: Full Time Company: Village Capital & Investment LLC Introduction: Village Capital is a well-established mortgage company committed to ...
Quality Control Auditor Location: Henderson, NV Job Type: Full Time Company: Village Capital & Investment LLC Introduction: Village Capital is a well-established mortgage company committed to ...
Quality Control Auditor Location: Henderson, NV Job Type: Full Time Company: Village Capital & Investment LLC Introduction: Village Capital is a well-established mortgage company committed to ...
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Apply Early
Quality Control Auditor Location: Henderson, NV Job Type: Full Time Company: Village Capital & Investment LLC Introduction: Village Capital is a well-established mortgage company committed to ...
Apply Early
$9.62 - $12.85
6% of jobs
$12.85 - $16.08
7% of jobs
$17.96 is the 25th percentile. Wages below this are outliers.
$16.08 - $19.32
20% of jobs
$19.32 - $22.55
14% of jobs
The median wage is $23.16 / hr.
$22.55 - $25.79
17% of jobs
$29.02 is the 75th percentile. Wages above this are outliers.
$25.79 - $29.02
11% of jobs
$29.02 - $32.26
10% of jobs
$32.26 - $35.49
6% of jobs
$35.49 - $38.72
3% of jobs
$38.72 - $41.96
2% of jobs
$41.96 - $45.19
3% of jobs
$9
$25
$45
| Aspect | Qc Auditor | Quality Control Inspector |
|---|---|---|
| Certifications | ISO 9001, ASQ certifications, relevant technical training | Basic quality inspection certifications, on-the-job training |
| Work Environment | Auditing processes, reviewing documentation, conducting assessments | Inspecting products, testing materials, visual quality checks |
| Employer & Industry Usage | Manufacturing, aerospace, automotive, pharmaceuticals | Manufacturing, construction, electronics, food production |
While both roles focus on quality assurance, a Qc Auditor primarily reviews and audits quality systems and documentation to ensure compliance, whereas a Quality Control Inspector performs hands-on inspections of products and materials. The Qc Auditor's role is more analytical and process-oriented, often involving audits and assessments, while the Quality Control Inspector is more involved in physical inspections to identify defects. Both positions are essential in maintaining product quality but differ in scope and daily tasks.

$28.85 - $33.65/hr
Other
Posted 13 days ago
Description
JOB SUMMARY
The Quality Control Auditor - Claims Management is responsible for performing detailed audits of claims processing activities to ensure accuracy, regulatory compliance, and adherence to contractual, coding, and reimbursement requirements within the Managed Services Organization (MSO). This role evaluates claims adjudication performed by Claims Examiners, identifies errors, analyzes trends, and provides recommendations to improve claims accuracy, operational efficiency, and compliance with federal and California regulatory standards.
The Quality Control Auditor supports delegated managed care compliance by auditing claims in accordance with health plan contracts, coding standards, reimbursement methodologies, and applicable regulatory requirements, including Department of Managed Health Care (DMHC), Centers for Medicare & Medicaid Services (CMS), and Department of Health Care Services (DHCS) standards where applicable.
This role plays a critical role in maintaining claims processing integrity, minimizing financial risk, ensuring regulatory compliance, and supporting continuous operational improvement.
Requirements
MINIMUM & PREFERRED QUALIFICATIONS
Education/Training
Minimum: High School Diploma or equivalent.
Preferred: Associate's or Bachelor's degree in Healthcare Administration, Business Administration, Compliance, or related field.
ExperienceÂ
Minimum: At least five years of managed care claims auditing, claims examiner, or claims quality control experience. Two years of experience as a Claims   Examiner or Claims Adjuster.Â
Preferred: Experience in MSO, IPA, or health plan environment. Experience supporting delegated managed care and regulatory audits. Experience auditing   professional and institutional claims.
Certification(s)
Preferred: Certified Professional Coder (CPC), Certified   Professional Medical Auditor (CPMA), or Certified Professional Compliance Officer (CPCO)
Skills, Knowledge & Abilities
Strong knowledge of managed care claims processing and audit methodologies.
Knowledge of CPT, HCPCS, ICD-10, DRG, and reimbursement methodologies.Â
Knowledge of health plan contracts, fee schedules, and DOFR agreements.Â
Knowledge of DMHC, CMS, DHCS, and regulatory requirements.
Strong analytical and problem-solving skills.
Ability to interpret and apply complex regulatory and contractual requirements.
Strong attention to detail and audit documentation skills.
Excellent written and verbal communication skills.Â
Proficiency with claims systems such as EZ Cap and Microsoft Office applications.Â
Ability to work independently and meet audit   deadlines.
Ability to maintain confidentiality and data integrity.
PHYSICAL, MENTAL & ENVIRONMENTAL REQUIREMENTS
The physical demands described here are represented by those that must be met by an employee to successfully perform the essential functions of this job. Work is primarily performed in an office or hybrid office environment and involves prolonged periods of sitting, computer use, and document review. The role requires sustained concentration, analytical thinking, and attention to detail to ensure claims accuracy and regulatory compliance. Light physical effort may be required, including lifting up to approximately 10 pounds and occasional bending, reaching, or filing. This role requires the ability to maintain confidentiality and professionalism when handling sensitive claims and compliance information.
PAY RANGE
$28.85 - $33.65 / hourly