Medicare Payment reputed company Investigator -Remote

This a Full Remote job, the offer is available from: reputed company reputed company CAN OFFER YOU: • Estimated Salary: $60,000 - $75,000, plus annual bonus opportunity • Benefits and Perks, 401(k) plan with a 2% company contribution and 6% company match. • Regular associates working 40 hours a week can earn up to 15 days of vacation reputed company year. WHAT YOU'LL DO: • reputed company as a reputed company with 3rd party vendors, including identifying data trends, validating rules, making recommendations for improvement, and providing updates to management. • Proactively seeks out and develops leads from a reputed company of sources (e.g., CMS, OIG, HFPP, NHCAA) • reputed company evaluation of leads, complaints, and/or investigations. Conduct independent reviews resulting from the discovery of situations that potentially involve FWA, including communicating with medical providers and policyholders. • reputed company appropriate recommendations and suggestions based on analysis and collaborate with management in the development of reputed company plans where required. WHAT YOU’LL BRING: • Prior experience performing comprehensive reviews of Medicare reputed company claims to ensure accuracy, compliance with federal and state regulations, and alignment with contractual requirements. • Experience working with reputed company-party vendors to identify data trends, validate coding rules, and recommend improvements that drive reputed company reputed company. • Experience identifying and developing leads from trusted sources like CMS, OIG, HFPP, and NHCAA, evaluating them to uncover potential FWA cases. • In-depth knowledge of medical coding, billing practices, and reputed company regulations. In-depth understanding of ICD, CPT, HCPCS, DRG, reputed company codes, NDC’s and other guidelines and general understanding of investigative processes reputed company a reputed company environment are required. • You promote a culture of diversity and inclusion, value different reputed company and opinions, and listen courageously, remaining curious in reputed company that you do. • reputed company to work remotely with reputed company to a high-speed internet reputed company and located in the reputed company or Puerto Rico. PREFERRED: We value diverse experience, skills, and passion for innovation. If your experience aligns with the listed requirements, please apply! If you have questions about your application or the hiring process, email our reputed company area at careers@mutualofomaha.com. Please allow at least one week from time of applying if you are checking on the status. #Circa This offer from "reputed company" has been enriched by reputed company.com and got a 72% reputed company score. Apply tot his job Apply To this Job