Senior Healthcare Auditor

Overview

Role involves evaluating healthcare billing practices and reducing fraud for the Department of Veterans Affairs.

Ideal candidate should have 5+ years of relevant experience and knowledge of healthcare auditing standards.

Locations

• United States

Requirements

• Active Public Trust required
• 5 years relevant experience
• 2-4 years healthcare auditing experience
• Knowledge of CPT, ICD-9, ICD-10, HCPCS coding required
• Excellent communication skills required

Responsibilities

• Evaluate medical records and claims
• Conduct proactive medical record reviews
• Detect fraud schemes
• Prepare audit documentation
• Engage with team members
• Perform root-cause analysis
• Support comprehensive audits
• Perform other duties as required

Benefits

• Performance Bonuses
• Medical Insurance
• Dental Insurance
• Vision Insurance
• 401(k) Plan
• Life Insurance
• Paid Time Off
• Training & Development