Oregon Licensed Audit InvestigatorVirtualVocations • Grand Rapids, Michigan, United States
Oregon Licensed Audit Investigator
VirtualVocations • Grand Rapids, Michigan, 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 External Audit in the Special Investigations Unit (Remote).
Key Responsibilities
Support compliance activities by developing and performing auditing and monitoring related to fraud and abuse
Investigate and correct fraudulent billing and coding practices, and coordinate 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 provider, facility, or health insurance company
2 years of fraud and abuse audit experience in a relevant healthcare environment
Experience in project management and education program development
Experience with data mining software / tools
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