Job Summary
A diversified healthcare company is searching for a person to fill their position for a Telecommute SIU Post Pay Investigator.
Core Responsibilities of this position include:
- Analyzing claims data to identify aberrant billing patterns
- Applying knowledge of coding guidelines to determine validity of aberrances
- Identifying current and emerging patterns and schemes related for FWA
Position Requirements Include:
- Able to conduct onsite provider claim and / or clinical audits
- Have a High School Diploma / GED (or higher) and / or 3 years of relevant experience
- Have 1+ years investigative experience
- Have 1+ years claims processing experience
- Have basic Excel experience
