Elite Technical is seeking a Fraud, Waste, and Abuse (FWA) Medical Record Reviewer! We are seeking an experienced healthcare fraud investigator and medical record reviewer with expertise in analyzing medical documentation, claims data, provider billing patterns, and regulatory compliance requirements. Skilled in identifying potential fraud, waste, and abuse indicators through detailed record review, coding validation, and investigative research. Knowledgeable in Medicare, Medicaid, HIPAA, CPT, HCPCS, and ICD-10 guidelines, with strong analytical and case documentation abilities.
- Key Competencies
* Strong analytical and critical-thinking skills.
* Attention to detail.
* Investigative mindset.
* Ability to interpret complex medical documentation.
* Report writing and case documentation skills.
* Knowledge of healthcare fraud schemes and abuse indicators.
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