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Lead Provider Audit Analyst
Job Summary
A company is looking for a Lead Provider Audit Analyst.
Key Responsibilities
- Plan, coordinate, and execute audits of provider records, claims, and documentation
- Review and assess the quality of provider services and documentation
- Prepare detailed audit reports, analyze findings, and recommend improvements
Required Qualifications
- Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field; Master's preferred
- 5-7 years of related work experience, with a focus on auditing or quality assurance
- Certifications such as Certified Professional Medical Auditor (CPMA) may be advantageous
- Experience in healthcare or insurance auditing is preferred
- Proficiency in data analysis and reporting tools such as Excel, Access, SQL, or Tableau
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COMPLETE JOB DESCRIPTION
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Company Overview
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