Clinical Investigator I
Company: VirtualVocations
Location: Orange
Posted on: February 4, 2025
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Job Description:
A company is looking for a Clinical Investigator I (Special
Investigation Unit).
Key Responsibilities
Audit medical records to identify inappropriate billing practices
and recommend next steps
Investigate and analyze provider billing patterns to ensure
compliance with regulations
Prepare summaries of findings and recommend preventative measures
to avoid future fraudulent practices
Required Qualifications, Training, and Education
Associate's degree in a related field or equivalent experience
preferred
Coding certification from an accredited organization or a relevant
clinical license
2+ years of medical coding experience or related clinical
experience
Experience in provider education preferred
Licenses such as RN, LPC, LCSW, LMHC, PT, OT, or ST are
acceptable
Keywords: VirtualVocations, Chino Hills , Clinical Investigator I, Healthcare , Orange, California
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