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Healthcare Investigator
A company is looking for a Healthcare Investigator....coding and billing practices Knowledge of HIPAA regulations and compliance Bachelor's degree in Healthcare Administration, Company Information Management, or related fieldSenior Investigator
A company is looking for a Senior Investigator to conduct audits and investigations into healthcare claims....Key Responsibilities Conduct detailed audits and investigations into potential fraud, waste, and abuse within healthcare claims Review medical records, verify charges, and generate audit reports Collaborate with clients to deliver audit results andHealthcare Fraud Investigator
overpayment recovery process while ensuring accurate investigations Required Qualifications 2-5 years of experience as an investigator with a Company plan Skills in data analysis and interpretation Experience in audit and investigation Knowledge of healthcare...coding and billing practices Bachelor's degree in Healthcare Administration, Company Information Management, or a related fieldHealthcare Fraud Investigator
A company is looking for an Investigator to perform data analysis and conduct investigations related to healthcare fraud and abuse....coding and billing practices Bachelor's degree in Healthcare Administration, Company Information Management, or related fieldSIU Investigator
A company is looking for a SIU Investigator to handle Company fraud investigations....Company industry or insurance fraud investigation is a plusLead Special Investigation Unit
compliance with Medicaid/Medicare/Marketplace health coverage audit policies Review and analyze claims data, medical records, and billing data for potential fraud and abuse Required Qualifications High School diploma or GED 2+ years of experience in Company...fraud investigations Knowledge of Medicaid/Medicare/Marketplace policies and Company coding Company Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Examiner (AHFI), or Certified Fraud Examiner (CFE) preferred Valid driver's licenseSenior Consultant, Investigations
A company is looking for a Senior Consultant, Investigations.Licensed Clinical Investigator
Key Responsibilities Conduct comprehensive reviews of medical records and documents to support claims for various healthcare providers Investigate and analyze provider billing patterns to ensure compliance with medical records and regulatory guidelinesFlorida Licensed Fraud Investigator
staff and developing departmental policies and reporting for compliance with state and federal integrity activities Required Qualifications Bachelor's Degree in a related discipline 8-10 years of related investigative experience or 5-7 years of Company...experience with CFE or AHFI Certified Professional Coder required (or to be achieved within 12 months of hire) Accredited Health Care Fraud Investigator (AHFI) required (or to be achieved within 24 months of hire) 5 years of experience in Coding, Company
