Licensed Clinical Investigator

A company is looking for a Clinical Investigator I (Special Investigation Unit). Key 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 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