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Financial Analyst
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- Use knowledge of heath care coding conventions, fraud schemes, general areas of vulnerability, reimbursement methodologies and relevant laws to find suspicious patterns in claims data and other sources.
- Work with paralegal specialists, litigation support specialists and others to compile documents and physical evidence, create detailed charts, graphs, summaries, videotapes, and other audio-visual materials for use in court documents and proceedings, including evidentiary hearings and at trial.
- Include significant findings and conclusions, recommendations for additional investigative actions and additional avenues of investigation, and assessments of strengths and weaknesses of witnesses of the documentary evidence and other aspects of the case.
- Accredited Healthcare Fraud Investigator (AHFI), or similar preferred.
- Professional Certification as a Certified Fraud Examiner (CFE) preferred.
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