Offer summary
Qualifications:
High School Diploma/GED required, 3+ years nursing or medical coding experience, 5+ years complex healthcare fraud investigations, Certified Professional Coding Certificate or RN License required, Bachelor's degree preferred.
Key responsabilities:
- Conduct complex healthcare fraud investigations
- Provide guidance on coding issues to investigators
- Perform reviews and analyses of medical records
- Participate in settlement negotiations
- Testify as a subject matter expert in court