Senior Auditor

A company is looking for a Senior Auditor to conduct thorough reviews of healthcare claims and ensure compliance with standards.

Key Responsibilities

Conduct thorough reviews of healthcare claims, medical necessity, and coding / documentation

Analyze data, verify charges, and generate audit reports while collaborating with clients

Deliver audit results, support legal cases, and provide expert guidance on regulations and overpayment recovery

Required Qualifications

Strong expertise in auditing, record retrieval, and coding and billing audits

Proficiency in analyzing large datasets and fraud detection methodologies

Familiarity with HIPAA and corporate integrity agreements

Ability to work independently in a remote environment while maintaining ethical standards

Relevant certifications such as CPA, CIA, or similar are preferred