RN Clinical Auditor - Behavioral Health

Certified Medical Coder/Medical Record Audit Specialist - Behavioral HealthLocation: Fully Remote, with occasional travel to Downtown Indianapolis, IN (expenses covered)Job Summary:We are seeking aCertified Medical Coder/Medical Record Audit Specialistwith strongBehavioral Healthcoding experience to support a state Medicaid program engagement. This role focuses on auditing medical records and claims documentation for coding accuracy and compliance, identifying billing and documentation issues, a

Fraud, Waste, and Abuse (FWA) Medical Record ReviewerCandidate from approved states ONLY: DC, MD, VA, PA, DE, WV, & NC Work Mode: First week or 2, onsite 5 days per week for collaboration purposes / training / meeting the team. Then mainly WFH with occasional meetings onsite when necessary. No expenses Paid for any Travel. Elite Technical is seeking a Fraud, Waste, and Abuse (FWA) Medical Record Reviewer! We are seeking an experienced healthcare fraud investigator and medical record reviewer wit

Description We are looking for a detail-oriented Data Analyst to support fee schedule oversight and claims-related analysis for healthcare programs. This Long-term Contract position will focus on monitoring reimbursement updates, identifying discrepancies, and helping maintain accurate configuration outcomes for a distributed team. Based in Minneapolis, Minnesota, this opportunity is well suited for someone who understands procedure coding, public payer reimbursement structures, and data validat

Active BCBA (Board Certified Behavior Analyst) certification and state licensure (MD, DC, or Virginia) - Required 3+ years of ABA (Applied Behavior Analysis) clinical experience - Required Experience creating and supervising ABA (Applied Behavior Analysis) treatment plans Direct patient care background (dealing with children with Behavior / Autism issues) Utilization Management or insurance review experience strongly preferred Comfortable reviewing medical necessity and authorization requests Fa