DDS QA Auditor #ARSD0848
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Job Location:
Norfolk, MA - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Title: DDS QA Auditor - #ARSD0848
State Role Title:Prog Admin Specialist II
Hiring Range: Starting Minimum Salary$76938
Pay Band:5
Agency: Dept for Aging & Rehab Svcs
Location:Aging & Rehab Svcs
Agency Website:
Recruitment Type: General Public - G
DDS is hiring a QA Auditor!
Were looking for a detail-oriented professional to analyze federal QA data review SSA-cited claim errors write rebuttals and manage our internal rebuttal process.
Why Join Us
Purpose-driven work
Inclusive supportive teams
Great state benefits
Job Duties:
Disability Determination Services objective is to provide accurate timely efficient and cost- effective evaluations of medical and vocational evidence related to claims filed by citizens of the Commonwealth of Virginia for benefits under Title II Title XVI and Title XIX of the Social Security Act. These evaluations result in the adjudication or determination of claims at the initial claims stage at the continuing disability review stage and at other appellate points in the disability process.
DDS is seeking an DDS QA Auditor to analyze federal quality assurance data review claims with errors cited by the SSA federal review component write rebuttals to dispute errors cited and manage the agencys internal rebuttal process.
Other duties and/or special projects as assigned.
Completes duties and/or projects as needed or directed by supervisor.
Minimum Qualifications:
Telework is limited in accordance with the Commonwealths telework policy; however this position may be based at any of our statewide office locations including Henrico Norfolk Fairfax or Roanoke.
The ideal candidate will have:
Knowledge/Experience:
- Extensive knowledge of the Social Security and Medicaid disability programs.
- Extensive knowledge of medical body systems including major disease processes treatment regimens clinical signs symptoms laboratory findings medical terminology and degree of effect of medically determinable impairments on the mental and physical function of adults and children.
Abilities/Skills:
- Considerable experience in adjudication of disability claims under the Social Security Act as amended.
- Ability to accurately interpret and apply complex policy and procedures.
- Ability to effectively communicate both verbally and in writing to include articulating and explaining program policy and procedures to others.
- Ability to analyze information reach logical conclusions and make feasible recommendations for the consistent and efficient operation of a statewide program.
- Ability to review the work of others.
- Ability to manage assigned work within established timeframes.
- Ability to effectively utilize position related computer applications.
Additional Considerations
N/A
Special Instructions:
- Must pass HSPD-12 federal credentialing.
- This has been designated a sensitive position under Va. Code 2.2-1201.1.
- The Social Security Administration (SSA) will conduct an extensive fingerprint-based criminal history check and credentialing process on all final candidates.
- All job offers will be contingent upon the applicant successfully passing the required SSA background process.
Reasonable accommodations are available to persons with disabilities during the application and/or interview processes per the Americans with Disabilities Act. Contact for assistance.
Minorities Individuals with disabilities Veterans AmeriCorps Peace Corps and other National Service Alumni are encouraged to apply.
To Apply:
Equal Opportunity Employer State applications will only be accepted as submitted online by 11:55 p.m. on the closing date through the Commonwealth of Virginias New Recruitment Management System. Mailed emailed faxed or hand delivered applications and/or résumés will not be accepted. PageUp will provide you with a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to Your Application in your account to check the status of your application for this position.
Contact Information:
Name: Human Resources
Email:
In support of the Commonwealths commitment to inclusion we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS) or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation if applicable to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at .
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1 2022- February 29 2024 can still use that COD as applicable documentation for the Alternative Hiring Process.
Key Skills
- Auditing
- Time Management
- ICD-10
- Accounting
- Component evaluation
- Workers' Compensation Law
- SOX
- Microsoft Excel
- CPT Coding
- Internal Audits
- Medicare
- Bookkeeping
About Company
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