About the role
Description LI-HW1 LI-Hybrid Responsibilities Essential Functions and Primary Duties Develop an in-depth understanding of Medicaid and other payer regulations, including billing manuals and reimbursement policies. Conduct research to ensure compliance with billing and coding standards. Conduct audits related to Medicaid and healthcare reimbursement, focusing on the identification of fraud, waste, and abuse. Present well-researched and documented findings to clients. Use SQL to independently rev…
Skills called out
SQL
Ghost-job notes
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