Let’s get started
Company Logo

Remote Jobs

Lead Healthcare Auditor

7/11/2025

No location specified

Job Summary

A company is looking for a Lead Healthcare Auditor to support the Department of Veterans Affairs in ensuring compliance and reducing fraud in medical billing practices.

Key Responsibilities:
  • Supervise and review evaluations of medical records and claims related to fraud, waste, and abuse
  • Conduct proactive medical record reviews and apply coding conventions to identify fraudulent billing patterns
  • Prepare audit documentation and summaries of findings in compliance with GAGAS standards


Required Qualifications:
  • Active Public Trust or ability to obtain one, requiring U.S. citizenship and a favorable background check
  • Registered nurse or licensed medical professional, or a Bachelor's Degree in a related field with relevant work experience
  • Five plus years of healthcare auditing experience, including clinical and coding experience
  • Knowledge of government payor practices and coding standards (CPT, ICD-9, ICD-10, HCPCS)
  • Experience with auditing by professional standards and industry best practices

Comments

No comments yet. Be the first to comment!