North Dakota Licensed Program Integrity Auditor

A company is looking for a Program Integrity Auditor. Key Responsibilities Coordinate and conduct complex audits to ensure compliance with state and federal regulations Perform recurring audits, compliance reviews, and investigations related to fraud, waste, and abuse Develop audit methodologies, document findings, and prepare comprehensive reports with recommendations Required Qualifications Certified Professional Coder (CPC) certification At least three (3) years of experience in medical claims auditing Professional experience with Medicaid or Medicare or provider auditing is preferred Thorough knowledge of auditing regulations Ability to work independently and manage multiple priorities

Apr 30, 2025 - 21:59

A company is looking for a Program Integrity Auditor. Key Responsibilities Coordinate and conduct complex audits to ensure compliance with state and federal regulations Perform recurring audits, compliance reviews, and investigations related to fraud, waste, and abuse Develop audit methodologies, document findings, and prepare comprehensive reports with recommendations Required Qualifications Certified Professional Coder (CPC) certification At least three (3) years of experience in medical claims auditing Professional experience with Medicaid or Medicare or provider auditing is preferred Thorough knowledge of auditing regulations Ability to work independently and manage multiple priorities