Job Description
Join a team dedicated to "healing and inspiring the human spirit" as a Senior Special Investigations Unit Medical Reviewer. This role involves conducting clinical reviews of medical records and claims to identify coding errors and potential healthcare fraud. You will mentor other reviewers and contribute to quality program goals.
Perks Include - CalPERS retirement
- Generous paid time off
- Medical, dental, and vision insurance
- Wellness programs
- Career advancement opportunities
- Competitive salary with merit increases
Qualifications: 5 years of medical review experience, a relevant degree or equivalent experience, and certification as a CPC, CPMA, or CCS. Active California nursing license required.
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