Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC)

Sentara Health Plan is seeking a remote Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) to conduct in-depth investigations into suspected fraud, waste, and abuse across various healthcare products. The role involves reviewing coding quality, analyzing claims data, and ensuring compliance with reimbursement policies and procedures. This full-time position requires a Bachelor's degree and a Certified Professional Coder (CPC) certification, with preferred certifications in fraud examination.