A company is looking for a Healthcare Auditor to conduct independent audits supporting the Department of Veterans Affairs in preventing fraud, waste, and abuse. Key Responsibilities Evaluate and document findings from medical record and claims reviews related to fraud, waste, and abuse Conduct medical record reviews utilizing knowledge of medical procedures, Medicare policies, and coding guidelines Prepare audit documentation and engage with team members to validate results while supporting comprehensive audits Required Qualifications Active Public Trust or ability to obtain one, requiring U.S. citizenship and a favorable background check Bachelor's degree with three years of relevant experience, or a Master's degree with no experience required Experience auditing by professional standards and knowledge of government payor practices and coding Healthcare auditing or regulatory compliance experience will be considered Ability to work independently and manage multiple tasks with limited supervision
Auditor • Louisville, Kentucky, United States