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Senior Healthcare Auditor

7/5/2025

Remote

Job Summary

A company is looking for a Senior Healthcare Auditor to support the Department of Veterans Affairs in ensuring proper billing practices and reducing fraud, waste, and abuse.

Key Responsibilities:
  • Evaluate and document findings from medical records and claims related to fraud, waste, and abuse
  • Conduct proactive medical record reviews and apply knowledge of coding guidelines and Medicare policies
  • Prepare audit documentation and assist in summarizing audit results for formal reports
Required Qualifications:
  • Active Public Trust or ability to obtain it, requiring U.S. citizenship and a favorable background check
  • RN or other licensed medical professional preferred, or five years of relevant experience with two to four years in healthcare auditing
  • Seven years of relevant experience required if lacking healthcare auditing experience
  • Experience with auditing by professional standards and knowledge of coding practices (CPT, ICD-9, ICD-10, HCPCS)
  • Demonstrated ability to work independently and as part of a team in a fast-paced environment

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