Telecommute Fraud Waste and Abuse Medical Review Auditor

Job Summary

A solutions and analytics company has an open position for a Telecommute Fraud Waste and Abuse Medical Review Auditor.

Must be able to:

• Conduct audit of medical records and healthcare claims
• Prepare and submit detailed reports on audit findings making recommendations to correct deficiencies
• Conduct medical policy and other relevant research in support of review findings

Qualifications for this position include:

• Bachelor’s in a related discipline, or the equivalent combination of education, professional training, and work experience
• Certified Professional Coder
• 2-5 years of related experience in auditing medical records
• Computer proficiency in MS Office suite
• Excellent verbal and written communication skills
• Strong listening and observation skills