Remote Medical Audit for Fraud, Waste & Abuse
Cotiviti
- Remote job
Cotiviti is seeking a Medical Reviewer to audit medical records and assess coding accuracy for fraud, waste and abuse clients. You will prepare detailed audit reports, research coding guidelines, and identify patterns that indicate non-compliance. The role requires 2–5 years of related auditing experience, a relevant degree, and CPC/CCS credentials. This is a work-at-home US position with a competitive benefits package. #J-18808-Ljbffr Cotiviti
$68k - $88k
Medical Review Auditor (Fraud Waste and Abuse) Join to apply for the Medical Review Auditor (Fraud Waste and Abuse... ...As a Medical Reviewer, you will be auditing medical records to evaluate the... ...Elite Premium Insurance Auditor - Remote Remote: Full Time Profee General Surgery...Remote workMedicalFraudHourly payFull timeContract workPart timeWork experience placementImmediate startWork from home$65k - $88.6k
...caring community The Fraud and Waste Professional 2... ...allegations of fraudulent and abusive practices. The Fraud... ...appropriate. Conducts on-site audits of provider records... ...Home. While this is a remote position, occasional... ..., Humana provides medical, dental and vision benefits...Remote workMedicalFraudFull timeTemporary workFor contractorsApprenticeshipWork at officeWork from homeHome officeMonday to Friday$65k - $88.6k
...caring community The Fraud and Waste Professional 2 conducts... ...allegations of fraudulent and abusive practices. The Fraud... ...investigative and audit reports. Understands... ...fortunate to offer a remote opportunity for this job... ..., Humana provides medical, dental and vision benefits...Remote workMedicalFraudBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Position The Financial Analyst - Fraud, Waste and Abuse (FWA) is r esponsible for identifying... ...Reporting & Analytics Support Analyze medical, pharmacy, provider, and member-level... ...patterns Perform data mining, auditing, trend analysis, outlier detection, and...MedicalFraudFull timeContract work
$65.3k - $111k
...person’s talents and strengths.The Senior Fraud, Waste and Abuse Investigator manages work related to fraud, waste and abuse audits and investigations across several independent... ...and other relevant parties regarding medical and behavioral health services initiating investigations...MedicalFraudContract workWork experience placementWork at office- ...Profile We offer remote work opportunities (AK, AR, AZ, CO... ...and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the... ...and reviews issue‑related medical claims and records for FWA... ...investigations, or equivalent claim auditing experience ~ U.S....Remote workMedicalFraudContract workFor subcontractorInterim role
$64k - $68k
...We offer remote work opportunities (AK, AR, AZ, CO, FL, HI,... ...and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the... ...and reviews issue-related medical claims and records for FWA... ...investigations, or equivalent claim auditing experience • U.S....Remote workMedicalFraudContract workTemporary workFor subcontractorInterim roleLocal areaShift work- ForHealth Consulting at UMass Chan Medical School is looking for a Fraud, Waste, and Abuse Auditor to identify and prevent... ...This position involves conducting audits and investigations to ensure... ...collaboratively. The auditor will work remotely with onsite requirements 1-2...Remote jobMedicalFraud
- ...seeking a strategic SIU Manager of Audit/Clinical to lead a team of... ..., and correcting healthcare fraud, waste, and abuse. The role guides prepayment and post-payment medical record reviews, ensures regulatory... .... The position offers remote leadership for a hybrid workforce...Remote workMedicalFraud
- ...Identifying and analyzing potential fraud, waste, and abuse in healthcare claims, the full-time remote Healthcare Fraud Investigator will conduct detailed reviews of medical records and claims data, collaborating with audit teams and legal partners to support overpayment...Remote workMedicalFraudFull time
$118.6k - $157.14k
...Investigations Unit (SIU) Manager, the SIU Medical Record Audit Manager provides leadership and... ...record audit functions within the Fraud, Waste, and Abuse (FWA) framework. This role holds primary... ...hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho...Remote workMedicalFraudTemporary work$46.99k - $122.4k
...responsible for the review of records for medical, behavioral, transportation, and other... ...records. Activities include reviews/audits of provider records to ensure... ...to state regulators for any suspected fraud, waste, or abuse (FWA). The Auditor must also ensure that...Remote workMedicalFraudHourly payFull timeMonday to FridayFlexible hours$85k - $90k
...whose purpose is to investigate and audit matters concerning fraud, theft, waste, abuse, and misconduct within or... ...Personal, competitive PTO package Medical (HMO, PPO, and No employee cost High... ...This position may be eligible for remote work following a successful completion...Remote workMedicalFraudFull timeTemporary workWork at office- ...Head Of Internal Audit The Head of Internal Audit serves as... ...internal controls, identifying waste, fraud, and abuse, and promoting... ..., with occasional travel to remote locations within Delaware County... ...pregnancy, childbirth or related medical conditions, age, marital status...Remote workMedicalFraudCasual workWork at officeLocal areaAfternoon shift
- ...perform compliance reviews of medical and administrative documentation, identifying fraud, waste, and abuse. The role involves site... ...data analysis, and presenting audit findings to clients using our... .... The position is full-time, remote within Massachusetts, with standard...Remote jobMedicalFraudFull timeShift work
- ...program, including a risk-based audit strategy and Revenue... ...direct Utilization Review (UR), medical-necessity review, or patient... ...refers potential overpayments or fraud, waste, or abuse concerns through established... ...or audit software.Other: Remote corporate position.The ideal...Remote workMedicalFraudFull timeWork experience placementWork at officeFlexible hours
$85k - $100k
...program integrity and claims audits to support Hawai?i Med-QUEST... ...related to Medicaid medical, dental, behavioral health,... ...including fully onsite, hybrid, or remote arrangements. The preferred... ...document, and escalate potential fraud, waste, abuse, improper payments,...Remote workMedicalFraudPermanent employment- ...benefit eligible position that is remote and located in San Diego.... ...to perform analysis and audits of managed care functions such... ...investigate allegations of fraud, waste, and abuse. Key responsibilities include... ...' experience in healthcare/medical office environment. Proficient...Remote workMedicalFraudFull timeWork at office
$100.2 - $140.28 per hour
...may have the ability to work remote as long as your VP has given... ...period of time for a medical accommodation, a full telework... ...16 * Participates in annual audit conducted by independent auditor... ...designed to detect and prevent fraud, waste, abuse, and misuse of district...Remote workMedicalFraudHourly payFull timeContract workFor contractorsWork at officeShift workWeekend work- The Medical Director, Clinical Payment Integrity provides clinical... ..., clinical validation audits, appeals, disputes, and escalated... ...Support efforts to prevent fraud, waste, and abuse while ensuring fair and accurate... ...review capabilities. Fully Remote: This role is designated by...Remote workMedicalFraudWork at office
$109.4k - $142.8k
...integrity efforts to combat fraud, waste, and abuse (FWA) within Medicare and Medicaid... ...facilitating case tracking, audits, investigations, and... ...investigation Disclaimer: Medical or recreational marijuana... ...makes every day better ~ Remote First, Remote Only Culture...Remote workMedicalFraudFull timeTemporary workFor contractorsWork from homeFlexible hours$52.69 - $69.82 per hour
...time Day - 08 Hour R2658919 Remote USA 108610021 Admin Compliance... ...Compliance Auditors conduct audits and monitoring activities to... ..., DRG and APC assignments, medical necessity, and reimbursement... ...to identify and eliminate waste, fraud and abuse, and inefficiencies in conformance...Remote jobMedicalFraudHourly payFull timeWork experience placementWork at office$65.3k - $111k
...person’s talents and strengths. The Senior Fraud, Waste and Abuse (FWA) Specialist serves as the... ...initiatives, regulatory reporting and audit management. This position leads program... ...activities. Serve as primary liaison with CMS, MEDIC, OHA, Medicaid Fraud Units, and other...Remote workMedicalFraudWork experience placementWork at officeFlexible hours$107.9k - $172.64k
...Investigations Unit (SIU) Manager of Audit/Clinical to lead a team of... ...and correcting health care fraud, waste, and abuse. This role ensures patient... ...effective leadership for a remote workforce, including... ...prepayment and post-payment medical record review inventory. Establish...Remote workMedicalFraudWork at officeLocal areaFlexible hours2 days per week- ...seeking a detail-oriented Certified Medical Coder / Medical Record Audit Specialist to support coding... ...analytical and writing skills. This is a remote position with occasional travel... ...of healthcare claims data and fraud, waste, and abuse preferred. Physical Requirements...Remote workMedicalFraudLocal area
$53.25k - $88.75k
...currently hiring a Senior Fraud and Abuse Investigator/CPC/CFI/CFS/CHC/CFE/AHFI - Remote! Status: Full-time,... ...coding in routine desk audits as well as occasional... ...assessments, data mining, fraud, waste and abuse (FWA)... ..., Bachelor's Degree, Medical Coding, Medical Chart Review...Remote workMedicalFraudPermanent employmentFull timeTemporary workCurrently hiringWork at officeShift work- ...National Defense priorities involving fraud, waste, and abuse. As a Forensic Accountant, you will work... ...activity. Conduct analysis and audit complex financial and business records... ...including pregnancy and childbirth or related medical condition or on any other basis...Remote workMedicalFraud
- Fraud, Waste, and Abuse (FWA) Medical Record Reviewer Elite Technical is seeking a Fraud, Waste, and Abuse (FWA) Medical Record Reviewer! We are... ...* Medicare and Medicaid programs * Claims auditing * Utilization review * Clinical documentation review...MedicalFraudTemporary workWork at office
- ...Overview Certified Medical Coder required (AHIMA, AAPC, or PMI). Hybrid-Sunrise, Florida The Medical Coding Auditor conducts audits to provide investigative support related to potential fraud, waste, abuse and/or overpayment. Through post payment medical records review...Remote workMedicalFraudContract workWork at office
$84.6k - $126.9k
...effectiveness. Everyone within the internal audit team participates in audit engagements... ....How You Can Stand OutExperience in fraud, waste, and abuse investigations (Hotline) desirable.... ...pregnancy, childbirth, and related medical conditions), sexual orientation, gender...Remote workMedicalFraudFull timeWork at officeImmediate start
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