Job Summary
A company is looking for a Healthcare Audit Manager to lead audit operations and ensure compliance within the Department of Veterans Affairs.
Key Responsibilities:
- Establish methods for supervision and review of evaluations related to fraud, waste, and abuse
- Conduct proactive medical record reviews and identify fraudulent billing patterns
- Prepare audit reports and perform root-cause analysis to identify improvements
Required Qualifications:
- Active Public Trust or ability to obtain one, requiring U.S. citizenship and a favorable background check
- Bachelor's degree in Business Administration, Healthcare Administration, or related field
- Five or more years of experience in healthcare auditing and managing audit teams
- Proven experience in healthcare regulatory compliance and knowledge of coding standards
- Preferred certifications include CPC, CIA, CHC, and/or RHIT
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