Job Summary
A staffing agency is filling a position for a Remote Medical Auditor in Baltimore County.
Individual must be able to fulfill the following responsibilities:
- Perform evaluation of medical records and claims as it pertains to fraud, waste and abuse
- Complete proactive record review using knowledge of medical procedures
- Prepare written reviews for submissions to clientele, providers, and internal staff
Position Requirements Include:
- 2+ years of related experience in medical review
- Certified Coder Certificate (CPC)
- Knowledge of ICD9, ICD10, CPT, HCPCS, APC, DRG, Revenue Codes, NDCs, and Medicare guidelines
- Fraud Waste and Abuse experience required
