Licensed Clinical Investigator
Behavioral Health Market Context
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Job Description
udulent practices
Required Qualifications, Training, and Education
Associate's Degree in a related field or equivalent experience preferred
2+ years of related clinical experience in the field of obtained license required
Provider education preferred
Coding certification from an accredited organization required
Valid RN, LPC, LPN, LCSW, LMHC, PT, OT, or ST license required
Required Qualifications, Training, and Education
Associate's Degree in a related field or equivalent experience preferred
2+ years of related clinical experience in the field of obtained license required
Provider education preferred
Coding certification from an accredited organization required
Valid RN, LPC, LPN, LCSW, LMHC, PT, OT, or ST license required
Qualifications
- •2+ years of related clinical experience in the field of obtained license required
- •Coding certification from an accredited organization required
- •Valid RN, LPC, LPN, LCSW, LMHC, PT, OT, or ST license required
Benefits
Responsibilities
- •Audit medical records to identify inappropriate billing practices and recommend next steps
- •Investigate and analyze provider billing patterns to ensure compliance with medical records and regulatory guidelines
- •Prepare summaries of findings and recommend preventative measures to avoid future fraudulent practices
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