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North Dakota Licensed Program Integrity Auditor
Job Summary
A company is looking for a Program Integrity Auditor.
Key Responsibilities
- Coordinate and conduct complex audits to ensure compliance with state and federal regulations
- Perform recurring audits, compliance reviews, and investigations related to fraud, waste, and abuse
- Develop audit methodologies, document findings, and prepare comprehensive reports with recommendations
Required Qualifications
- Certified Professional Coder (CPC) certification
- At least three (3) years of experience in medical claims auditing
- Professional experience with Medicaid or Medicare or provider auditing is preferred
- Thorough knowledge of auditing regulations
- Ability to work independently and manage multiple priorities
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COMPLETE JOB DESCRIPTION
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