Job Summary
A health insurance company has an open position for a Remote Clinical Provider Auditor II.
Core Responsibilities Include:
- Researching new healthcare related questions as necessary to aid in investigations
- Identifying issues and/or entities that may pose potential risk associated with fraud and abuse
- Examining claims for compliance with relevant billing and processing guidelines
Position Requirements Include:
- Requires a AA/AS
- 4 years medical coding/auditing experience
- Minimum of 1 year in fraud, waste abuse experience
- Requires coding certification (CPC/CCS/CIC/CPMA/RHIT/RHIA)
