Medical Auditor
- Conducted audits on medical claims to ensure accuracy, adherence to guidelines, and proper billing practices.
- Analyzed medical documentation, including diagnoses, procedures, and treatment plans, to determine the appropriateness of billed services.
- Identified discrepancies, billing errors, and potential instances of fraud or abuse through comprehensive review and analysis.
- Prepared detailed audit reports outlining findings, recommendations, and corrective actions.
- Stayed updated with changes in healthcare regulations and reimbursement guidelines to ensure compliance.