Healthcare Fraud Investigator

A company is looking for an Investigator for the External Audit Special Investigations Unit (Remote).

Key Responsibilities

Support compliance activities by developing and performing auditing and monitoring tasks

Identify, investigate, and correct fraudulent billing and coding practices

Provide education on coding, documentation requirements, and healthcare compliance

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

Project management and education program development experience

Experience using data mining software / tools