Investigator

A company is looking for an Investigator responsible for conducting audits and reviews in the healthcare sector.

Key Responsibilities

Conduct audits and reviews, verifying charges and generating audit results

Collaborate with clients to deliver results and provide legal support

Build cases and prepare expert witness reports while ensuring compliance with ethical standards

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