Associate Fraud and Abuse Investigator
Sentara(1 month ago)
About this role
An Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) at Sentara Health Plan is a full-time remote position supporting the health plan’s efforts in fraud prevention, coding accuracy, and claims integrity. The role sits within the health plan compliance environment and works with claims and reimbursement systems while contributing to quality and compliance initiatives. The position is remote across specified U.S. states with occasional annual travel to Virginia Beach.
Required Skills
- Medical Coding
- Fraud Investigation
- Claims Analysis
- Case Management
- Data Analysis
- Research
- Microsoft Excel
- Microsoft Access
- Communication
- Time Management
+1 more
Qualifications
- Bachelor's Degree
- Certified Professional Coder (CPC)
- Certified Fraud Examiner (CFE)
- Accredited Health Care Fraud Investigator (AHFI)
About Sentara
sentaracareers.comJoin a national healthcare leader dedicated to growth, innovation and patient safety. Join Sentara.
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