from Providers/TPA's in processing/adjusting claims (e.g. ICD-9/10, CPT, HCPC) or Minimum 3 years' experience auditing experience... Demonstrated understanding of medical claims processes and procedures, and ability to recognize and interpret variances Legally...
, financial, and compliance), back office support functions audits (such as quality control, estimation, commercial, engineering..., Closeout Audits, Cost Saving Audits, Surprise quality & HSE inspections, and review of construction claims such as EOT...