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Investigator

Company: VirtualVocations
Location: Burbank
Posted on: May 3, 2025

Job Description:

A company is looking for an Investigator to conduct audits and reviews of cases related to coding and billing compliance.
Key Responsibilities

Conduct detailed audits and reviews of cases to assess compliance with coding, documentation, and billing standards
Identify potential instances of fraud, waste, and abuse, and verify charges
Generate preliminary and final audit results and collaborate with clients for report delivery and overpayment recovery

Required Qualifications

Strong auditing, medical record review, and documentation skills
Knowledge of coding standards, billing practices, and compliance requirements
Experience with data analytics and fraud detection techniques
Bachelor's degree in a related field and relevant certifications are a plus
Familiarity with HIPAA regulations and corporate integrity agreements

Keywords: VirtualVocations, Fountain Valley , Investigator, Other , Burbank, California

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