Healthcare Investigator

Job Summary

A company is looking for an Investigator to conduct audits and support legal case building in healthcare.

Key Responsibilities

• Investigate cases and oversee medical records audits
• Verify charges and navigate coding and documentation guidelines
• Develop audit reports and communicate results to clients

Required Qualifications

• Experience in medical records auditing, coding, and documentation review
• Knowledge of data analytics and fraud examination
• Proficiency in HIPAA regulations and confidentiality standards
• Bachelor's degree in healthcare or a related field is preferred
• Experience with Data Analytics or OIG best practices is a plus