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California Licensed Audit Investigator
California Licensed Audit InvestigatorVirtualVocations • Akron, Ohio, United States
California Licensed Audit Investigator

California Licensed Audit Investigator

VirtualVocations • Akron, Ohio, United States
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

A company is looking for an Investigator for the External Audit Special Investigations Unit, working remotely.

Key Responsibilities

Support compliance activities by developing, implementing, and performing auditing and monitoring tasks

Identify, investigate, and correct fraudulent billing and coding practices, coordinating recovery of overpayments

Provide education on coding, medical record documentation, and healthcare compliance to staff and providers

Required Qualifications

Bachelor's Degree or equivalent combination of education and experience

5 years of coding experience in a healthcare setting

2 years of fraud and abuse audit experience in a relevant healthcare environment

Experience in project management and education program development

Familiarity with data mining software / tools

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Investigator • Akron, Ohio, United States

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