Coder
$44.46 per hourHealthCare Support
Clinical Fraud Audit Specialist - Remote Arizona
HealthCare Support is actively seeking a Clinical Fraud Audit Specialist - Remote Arizona to fill an opening in Phoenix , Arizona .
Daily Responsibilities for Clinical Fraud Audit Specialist - Remote Arizona:
Benefits for Clinical Fraud Audit Specialist - Remote Arizona:
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional questions, you may contact us at View email address on click.appcast.io . Please include your phone number, Job Title, and location and our recruiters will reach out.
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
HealthCare Support is actively seeking a Clinical Fraud Audit Specialist - Remote Arizona to fill an opening in Phoenix , Arizona .
Daily Responsibilities for Clinical Fraud Audit Specialist - Remote Arizona:
- Conduct in-depth clinical and claims reviews using benefit plans, medical policies, claims systems, member enrollment information, provider contracts, and other relevant resources.
- Analyze claims and determine appropriate resolution in accordance with department policies and applicable state and federal requirements.
- Identify and monitor claims trends that may indicate educational opportunities, policy or guideline updates, referrals, or potential fraud, waste, and abuse.
- Monday to Friday 8AM - 5PM
- 1-2 years of related medical coding, auditing, or clinical experience.
Associate degree, post-high-school nursing diploma, LPN certification from an approved program, or an equivalent combination of education and experience.
CPC, CCS, or CPMA certification required within 6 months of starting.
- 2+ years of medical coding or auditing experience.
- 2+ years of experience in utilization review, quality assurance, or the health insurance industry.
- Bachelor's degree in Nursing or a related field.
Benefits for Clinical Fraud Audit Specialist - Remote Arizona:
- Health Insurance
- Dental Insurance
- Life Insurance
- Employee Assistance Program (EAP)
- Access to Investment Accounts
- Career and educational tools within our Ingenovis ACT (advocacy) Program
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional questions, you may contact us at View email address on click.appcast.io . Please include your phone number, Job Title, and location and our recruiters will reach out.
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Vacancy posted 2 days ago
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