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Clinical Investigator Jobs in Noida - Confidential

Clinical Investigator

Confidential
salary-icon 18000 - 20000 Monthly
Expired

Posted: 10 Jul 18

Job Description

 Purpose of Job

 This process works on identifying discrepancies between medical records and billed services for complex and high value claims by identifying Up-coding, Unbundling, Duplication, and Misrepresentation of services. They approve/deny claims & Identify provider aberrant behavior patterns. The associates prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/ diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies

 

 Job Responsibilities

-Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes , CMC guideline along with referring to client specific guidelines and member policies

-Adherence to state and federal compliance policies and contract compliance

-Assist the prospective team with special projects and reporting

Job Particulars

Role others
Education BDS, BAMS, BHMS
Who can apply Freshers
Hiring Process Face to Face Interview
Employment TypeFull Time
Job Id446832
Locality Address
Country India

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