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Remote Fraud Waste and Abuse Medical Review Auditor

Company: VirtualVocations
Location: Arvada
Posted on: September 23, 2022

Job Description:

A payment processing products provider needs applicants for an opening for a Remote Fraud Waste and Abuse Medical Review Auditor.

Individual must be able to fulfill the following responsibilities:
Conduct audit of medical records and healthcare claims assessing the accuracy of medical coding
Conduct medical policy and other relevant research in support of review findings
Prepare and submit detailed reports on audit findings making recommendations
Required Skills:

2-5 years of related experience in auditing medical records
Computer proficiency in MS Office suite
Certified Professional Coder (CPC, CCS, CCS-P)
Bachelor's Degree in a related discipline, or the equivalent combination of education, professional training, and work experience
Understanding of ICD, CPT, HCPCS, APC, DRG, Revenue Codes, NCDs, and federal and state guidelines
Excellent verbal and written communication skills

Keywords: VirtualVocations, Arvada , Remote Fraud Waste and Abuse Medical Review Auditor, Healthcare , Arvada, Colorado

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