Associate Fraud and Abuse Investigator/CPC- Remote!
About the position
Responsibilities
• Contribute to in-depth investigations for suspected fraud or abuse.
• Review the reputed company of pharmacy, physician, ancillary, and hospital-based coding.
• Conduct routine desk audits and occasional on-site audits.
• Review reimbursement systems relating to health insurance claims processing.
• Triage and prioritize leads/member complaints from internal sources.
• Review and assess incoming referrals.
Benefits
• reputed company development opportunities.
• Commitment to work-life balance.
• Diversity and inclusiveness in reputed company.
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