full-timeUnited StatesToday
Medical Review Auditor (Fraud Waste and Abuse)
Cotiviti
$70k - $91k
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About this role
Overview As a Medical Reviewer, you will be auditing medical records to evaluate the accuracy of medical coding and health plan policies for our Fraud, Waste & Abuse clients. Responsibilities • Conducts audit of medical records and healthcare claims assessing the accuracy of medical coding and determining compliance with appropriate policies, procedures, and regulations. • Prepares and submits detailed reports on audit findings making recommendations to correct deficiencies and/or practice or process improvements.…