Healthcare Investigator

A company is looking for an Investigator to conduct audits and reviews in the healthcare sector.

Key Responsibilities

Conduct audits and reviews, performing verification of charges

Generate preliminary and final audit results and collaborate with clients on results delivery

Build cases, provide expert witness reporting, and offer legal support

Required Qualifications

Experience in auditing large data sets and performing extrapolation

Skills in data analytics, coding and billing audits, and reviewing claims

Expertise in Big-4 Data Analytics and OIG best practices

Knowledge of HIPAA recommendations and requirements

Experience in legal support, case building, and expert witness reporting is a plus