Join us to enhance healthcare integrity by auditing claims for compliance and identifying fraud risks. Collaborate with teams, conduct critical analyses, and play a key role in training others while working virtually in this impactful position.
Engage in auditing healthcare claims to identify fraud and compliance risks. Collaborate with teams to improve processes and support training for new hires. Maintain knowledge of coding regulations to enhance quality assurance in payment integrity.
Take ownership of identifying fraud and abuse risks through detailed claims examination and analysis. Collaborate with internal teams to recommend interventions and remain updated on medical coding regulations and trends.
Optimize healthcare compliance by examining claims to identify fraud and abuse risks. Collaborate with the Special Investigation Unit to develop loss control strategies and conduct training for associates, enhancing overall operational integrity.