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Senior SIU Clinical Investigator - Remote Forensic Auditor

Oscar Health Insurance

New York, NY
  • Remote job

Oscar Health Insurance is seeking a Senior Analyst, SIU Clinical Investigator to detect and audit aberrant billing patterns in claims and clinical documentation. You will review medical records to ensure alignment with guidelines and regulations, and identify schemes such as upcoding or unbundling. As a clinical SME, you will translate findings into education for Oscar teams and build evidentiary files for potential recovery or referrals. This is a remote role with NYC/Tempe office options. #J-18808-Ljbffr Oscar Health Insurance

Vacancy posted 2 days ago
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