CPC Certified Fraud Investigator

A company is looking for a Fraud and Abuse Investigator/CPC for a remote position. Key Responsibilities Conduct in-depth investigations for suspected fraud or abuse related to various healthcare interactions Review the quality of coding through routine and occasional audits Analyze reimbursement systems and ensure compliance with policies and procedures Required Qualifications, Training, and Education Bachelor's Degree required; related field preferred Minimum of 2 years combined experience in Medical Coding, Healthcare, Internal/External Audit, or related fields required Certified Professional Coder (CPC) required (or to be achieved within 12 months of hire) Preferred certifications include Certified Fraud Examiner (CFE) or Accredited Health Care Fraud Investigator (AHFI) Additional preferred certifications include Certified Forensic Interviewer (CFI) and Certified in Healthcare Compliance (CHC)

Apr 14, 2025 - 22:43

A company is looking for a Fraud and Abuse Investigator/CPC for a remote position. Key Responsibilities Conduct in-depth investigations for suspected fraud or abuse related to various healthcare interactions Review the quality of coding through routine and occasional audits Analyze reimbursement systems and ensure compliance with policies and procedures Required Qualifications, Training, and Education Bachelor's Degree required; related field preferred Minimum of 2 years combined experience in Medical Coding, Healthcare, Internal/External Audit, or related fields required Certified Professional Coder (CPC) required (or to be achieved within 12 months of hire) Preferred certifications include Certified Fraud Examiner (CFE) or Accredited Health Care Fraud Investigator (AHFI) Additional preferred certifications include Certified Forensic Interviewer (CFI) and Certified in Healthcare Compliance (CHC)