Providing investigative support for special investigation unit (SIU) activities, the full-time Healthcare Investigator will focus on the prevention, detection, and investigation of healthcare fraud, waste, and abuse (FWA), while working remotely to analyze information and ensure compliance with coding and billing guidelines. Key responsibilities Develop leads and conduct assessments and investigations into allegations of FWA, including interviews and data analysis Complete investigations within mandated timeframes and prepare detailed reports and referrals to regulatory agencies Coordinate with internal departments to gather documentation and provide education on appropriate coding practices Required qualifications At least 2 years of investigative experience in the healthcare industry or equivalent education and experience Knowledge of managed care, Medicaid, Medicare, and claim billing codes Proven investigatory skills with the ability to analyze risks and remain objective Understanding of data analytics and regulatory requirements related to healthcare Valid and unrestricted driver's license
...Job Title Hemodialysis Technician Job Description Under the general supervision of the Head Nurse/ADN for the area, and the direct... ...for the safe and efficient preparation and operation of dialysis equipment for the Renal Service section of Medicine. Maintains...
Why Beebe?: Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Benefits In addition to competitive compensation and...
...Massage Therapist Position Our brand purpose is to Elevate the Lives of the People we Touch. At Massage Heights, we believe in the healing... ...and estheticians truly does change the world one fantastic body at a time. Welcoming newly licensed and seasoned therapists! Company...
Join our seasoned, dynamic, and fun team of Wine Consultants! PRP Wine International shares our high-quality products from all over the... ...a database of clients to invite to eventsStaying on top of industry news and trendsRequirementsMust be 21 years or olderMust have...
...Operator / Emergency Dispatcher provides continuous, professional telephone and emergency communication services for the Northport VA Medical Center. The operator serves as a critical first point of contact for patients, staff, visitors, and emergency responders, ensuring...