- Idaho Division of Human Resources (Boise, ID)
- …fraud, financial crimes or white-collar investigations. + Experience analyzing financial records, claims data, or medical billing. + Proficiency in writing ... fraud, and abuse. + Candidates with certifications such as Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), or Certified Professional Medical … more
- New York State Civil Service (New York, NY)
- …investigation of alleged fraud.* Designation as a Certified Fraud Examiner .* Experience with statistical sampling and/or advanced statistical training.* Knowledge ... of the healthcare industry and medical coding concepts (CPT, ICD-9 / 10, DRGs) and/or...ICD-9 / 10, DRGs) and/or experience analyzing health care claims data.* A CPA is not required; but the… more
- National Health Care Associates (West Hartford, CT)
- …issues/resolution. + **_Administration:_** + Manage WC: Cinch form submission, partner with claims examiner , OSHA log recordkeeping, attend safety meetings, and ... maintaining payroll records for audits. + Ensures personnel files comply with medical records, background investigation, and drug screening results are separate from… more
- Option Care Health (Bannockburn, IL)
- …to analyze large datasets, such as related to healthcare operations, billing, claims , and patient information to support Compliance activities and to identify ... in Healthcare Compliance (CHC), Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), or similar certification preferred. + Direct experience in home… more