A company is looking for an Investigator in the External Audit Special Investigations Unit.
Key Responsibilities
Support compliance activities by developing and performing auditing and monitoring related to fraudulent billing and coding practices
Coordinate recovery of overpayments due to fraudulent billing and provide education on healthcare compliance
Assist the External Audit Senior Manager in compliance-related investigations and corrective actions
Required Qualifications
Bachelor's Degree or equivalent combination of education and experience
5 years of coding experience with 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
Familiarity with data mining software / tools
Investigator • Lincoln, Nebraska, United States