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Clinical Investigator I (Florida Licensed)

Company: VirtualVocations
Location: Irvine
Posted on: March 12, 2025

Job Description:

A company is looking for a Clinical Investigator I (Special Investigation Unit).
Key Responsibilities

Audit medical records to identify inappropriate billing practices and recommend next steps
Investigate and analyze provider billing patterns based on medical records and regulatory guidelines
Prepare summaries of findings and recommend changes to prevent future fraudulent practices

Required Qualifications

Associate's degree in a related field or equivalent experience preferred
Coding Certification and 2+ years of medical coding experience or relevant clinical license with 2+ years of related experience
Experience in provider education preferred
Coding certification from an accredited organization is preferred
Clinical license (RN, LPC, LCSW, LMHC, PT, OT, or ST) is preferred

Keywords: VirtualVocations, Irvine , Clinical Investigator I (Florida Licensed), Healthcare , Irvine, California

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