About this role
Clinical Healthcare Fraud Investigator - Nurse Auditor at Allied Universal. Location: Raleigh, North Carolina, United States. Role: performing audits, analyzing claims, supporting investigations Requirements: Active RN license, coding/auditing certification (CPC/CPMA/CFE or equivalent), 3+ years clinical experience, medical record auditing and claims review experience, knowledge of CPT/HCPCS/ICD-10 and CMS/payer rules, Microsoft Office proficiency. Category: Healthcare Services - Nursing Seniority: Mid Level Tools: Microsoft Office, CPT, HCPCS, ICD-10-CM/PCS Certifications: rn, cpc, cpma, cfe, chc, cia, ahfi Commitment: Full Time Workplace: Onsite Languages: English