- Providence (Oakland, CA)
- …includes the identification, investigation and correction of fraudulent and/or abusive billing and coding practices; coordination of recovery of overpayments ... related to fraudulent and/or abusive billing and coding practices; and providing education...Investigator (AHFI) upon hire. + Certification as an Internal Auditor or Healthcare Compliance certification upon hire. + Clinical… more
- Molina Healthcare (NE)
- …and state specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing ... including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more
- Robert Half Accountemps (Boston, MA)
- …+ Work for a Fortune 500 healthcare organization + Audit medical records for coding , billing accuracy, and compliance + Collaborate with providers and internal ... teams to improve quality standards + Full-time, Monday-Friday schedule (potential for remote or hybrid) + Must have an active RN license and at least 2 years of clinical experience Who We're Looking For: + Active RN license (MA or compact state, depending on… more