Senior Healthcare Auditor - Remote

Overview

The Senior Healthcare Auditor will support the Department of Veterans Affairs in ensuring proper billing practices and reducing fraud, waste, and abuse under the VA’s Medical Disability Examination (MDE) Contracts.

In Short

• Responsible for independent evaluation of medical records and claims.
• Complete proactive medical record reviews.
• Utilize coding conventions to detect fraud schemes.
• Maintain understanding of laws and regulations.
• Prepare audit documentation supporting fieldwork.
• Engage with team members for requirements gathering.
• Assist in preparing written summaries of audit results.
• Perform root-cause analysis and identify improvements.
• Work independently and as part of an auditing team.
• Perform other duties as required.

Requirements

• Active Public Trust or ability to obtain it.
• RN or licensed medical professional preferred.
• Minimum five years of relevant experience.
• Experience auditing by professional standards required.
• Knowledge of government payor practices and coding.
• Excellent written and verbal communication skills.
• Ability to work independently and in teams.
• Comfortable managing multiple tasks with limited supervision.

Benefits

• Performance Bonuses
• Medical, Dental, and Vision Insurance
• 401(k) Plan
• Life Insurance
• Paid Time Off
• 11 Federal Holidays
• Parental Leave
• Commuter Benefits
• Short and Long Term Disability
• Training & Development
• Wellness Program
• Community Outreach Initiatives