Investigator External Audit Special Investigations Unit

Providence; California (MO); Remote; Full time

Job summary

A leading company in healthcare is seeking an Investigator for the External Audit Special Investigations Unit. This remote role involves supporting compliance activities and conducting audits. Ideal candidates will have a Bachelor's degree and relevant experience in coding and fraud audits.

Benefits

Comprehensive health benefits

Retirement resources

Well-being resources

Qualifications

• 5 years of coding experience in healthcare or insurance.
• 2 years of fraud and abuse audit experience.

Responsibilities

• Assist the External Audit Senior Manager with compliance-related audits.
• Support monitoring activities at the Health Plan.

Skills

Project management

Data mining software

Education

Bachelor's Degree

Job description

Investigator External Audit Special Investigations Unit

Join to apply for the Investigator External Audit Special Investigations Unit role at Providence.

Overview

The Investigator External Audit Special Investigations Unit (SIU) supports compliance activities at the Health Plan. This remote role assists the External Audit Senior Manager with developing, implementing, and performing compliance-related audits and monitoring activities.

Location

Remote, with eligibility in Washington, Oregon, and California.

Qualifications

• Bachelor's Degree or equivalent experience.
• 5 years of coding experience in healthcare or insurance.
• 2 years of fraud and abuse audit experience.
• Project management and data mining software experience.

Preferred Qualifications

• Current CPC certification.
• AHFI, CHC, or CIA certifications.
• Clinical background.

Salary Range

Varies by location, e.g., California: $28.41 - $50.84, Oregon: $26.49 - $43.47, Washington: $25.28 - $45.31.

Benefits & Culture

Providence offers comprehensive benefits, including health, retirement, and well-being resources. We value diversity and inclusion, supporting our mission to care for vulnerable communities.