Remote Clinical Provider Auditor II

Company: VirtualVocations
Location: Garden Grove
Posted on: June 18, 2022

Job Description:

A health insurance company is seeking a Remote Clinical Provider Auditor II.

Individual must be able to fulfill the following responsibilities:
Examine claims for compliance with relevant billing and processing guidelines
Review and conduct analysis of claims and medical records prior to payment
Research new healthcare related questions as necessary to aid in investigations
Position Requirements Include:

AA/AS and minimum of 4 years medical coding/auditing experience
1 year in fraud, waste abuse experience
Requires coding certification

Keywords: VirtualVocations, Garden Grove , Remote Clinical Provider Auditor II, Accounting, Auditing , Garden Grove, California

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