Analyze pre-certification, Medical Decision Reviews and research and identify billing practices and issuesReview and negotiate appeals to evaluate compliance with applicable statutory and regulatory requirements, industry best practicesParticipates in project meetings, providing QC shop inspection updates as required, communicating relevant information to other quality professionals and inspectors as appropriate, updates ITPsInterfaces for development of respective shop inspection documentation packages, identification of unique inspection requirements and any other aspects to highlight or communicate to the assigned shop inspector in support of shop inspection activitiesReviews inspection reports for content quality, completion, clarity and consistencyMay be required to mentor staffGenerates records, reports, correspondence, distributes appropriately and identifies improvement opportunitiesEffectively and efficiently plan quality control activities to support the overall manufacturing processProvide technical guidance to the QC team and assists with planning for special projects and quality control exceptions as neededAssist QC supervisors with tactical decisions in quality control to support planning requirements and execution by QC staff