Lead Provider Audit Analyst
A company is looking for a Lead Provider Audit Analyst.
Key Responsibilities
Plan, coordinate, and execute audits of provider records, claims, and documentation
Review and assess the quality of provider services and documentation
Prepare detailed audit reports, analyze findings, and recommend improvements
Required Qualifications
Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field; Master's preferred
5-7 years of related work experience, with a focus on auditing or quality assurance
Certifications such as Certified Professional Medical Auditor (CPMA) may be advantageous
Experience in healthcare or insurance auditing is preferred
Proficiency in data analysis and reporting tools such as Excel, Access, SQL, or Tableau
A company is looking for a Lead Provider Audit Analyst.
Key Responsibilities
Plan, coordinate, and execute audits of provider records, claims, and documentation
Review and assess the quality of provider services and documentation
Prepare detailed audit reports, analyze findings, and recommend improvements
Required Qualifications
Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field; Master's preferred
5-7 years of related work experience, with a focus on auditing or quality assurance
Certifications such as Certified Professional Medical Auditor (CPMA) may be advantageous
Experience in healthcare or insurance auditing is preferred
Proficiency in data analysis and reporting tools such as Excel, Access, SQL, or Tableau