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Remote healthcare fraud waste and abuse clinical reviewer


This is a Full-time position in Rochester, NY posted July 23, 2019.

An investigations company has a current position open for a Remote Healthcare Fraud Waste and Abuse Clinical Reviewer.

Core Responsibilities Include: Identifying aberrancies and trends related to claim submissions Performing additional research, as needed, in support of investigative reviews Compiling and preparing findings identifying key areas of concern Qualifications for this position include: Registered Nurse with a current, valid unrestricted license Minimum of 3 years claims knowledge (billing or reviewing) Minimum of 3 years clinical experience as a registered nurse Above average proficiency with MS Word and Excel Critical problem-solving skills and attention to details