Fraud, Waste, and Abuse Investigator

John Hopkins Medicine Center Corporate SecurityHanover, MD
497dRemote

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About The Position

The Fraud, Waste, and Abuse Investigator at Johns Hopkins Health Plans plays a crucial role in ensuring the integrity of healthcare claims through data analysis and investigation. This remote position involves conducting post-payment coding validation, identifying potential claims retractions, and executing investigations or audits of providers. The investigator collaborates with the Supervisor, FWA, to meet production goals and maintain compliance with healthcare regulations.

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