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Clinical Investigator I (Florida Licensed)
Key Responsibilities Audit medical records to identify inappropriate billing practices and recommend next steps Investigate and analyze provider billing patterns based on medical records and regulatory guidelines Prepare summaries of findings and...recommend changes to prevent future fraudulent practices Required Qualifications Associate's degree in a related field or equivalent experience preferred Coding Certification and 2+ years of medical coding experience or relevant clinical license withBilling EDI Analyst
with management and stakeholders regarding project status and issues Required Qualifications High school diploma or equivalent required; Associate's degree or higher preferred Minimum three years Company work experience required Prior experience in medical...billing or EDI strongly preferred Experience with HL7 files strongly preferred Strong analytical skills strongly preferred
