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Medical Investigator I/II (RN Required) @ Excellus BlueCross BlueShield

Buffalo, New York, United States of AmericaOnsiteFull-time
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About this role

Embrace the opportunity to become a Medical Investigator I/II (RN) and play a key role in combating fraud and abuse. Leverage your clinical expertise and investigative skills to review medical records, conduct audits, and collaborate with law enforcement. Make a meaningful impact in healthcare compliance and patient safety while advancing your career in a dynamic environment.. Category: Customer Service, Claims & Insurance Operations

Skills

clinical investigationfraud detectionmedical record reviewregulatory complianceclaims investigationmedical codingcpt codinghcpcs codingicd10 codingdrg codingclaims processing systemselectronic data processing systemscase managementdispute resolutionstakeholder management

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