Jr. Healthcare Investigator (Full-Time, Remote)

Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.

At IntegrityM, we offer a culture of opportunity, recognition, collaboration, and supporting our community. We thrive off of these fundamental elements that make IntegrityM a great place to work. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver creative solutions that exceed goals and foster a dynamic, idea-driven environment that nurtures our employees’ professional development. Large company perks…Small company feel!

http://www.integritym.com

We are now seeking a Jr. Investigator to join our team. The Jr. Investigator conducts research and analysis, pulls information, and cites regulations using regulatory language, adjusting as needed. The Jr. Investigator will conduct a review of provider documents and provision of complete written reports (with supporting documentation). The Jr. Investigator provides input into monthly progress reports, periodic progress reports, and an annual summary report, as required.

Requirements

• Knowledge of compliance laws, regulations, and healthcare industry practices
• At least one year of experience investigating and identifying noncompliance activities in a healthcare setting
• Bachelor’s degree and certification such as AAPC’s Certified Professional Compliance Officer (CPCO) or American Academy of Professional Coders’ (AAPC)
• Knowledge of health insurance cost sharing requirements for Medicare, Medicaid, and private insurance and / or ability to quickly learn complex information and apply the information to conducting investigations

Additional Qualifications:

• The ability to be flexible and adapt to new processes/systems
• Strong attention to detail
• Work experience within health insurance is a plus
• Great writing skills
• Ability to work independently as well as with a team

IntegrityM is an Equal Opportunity Employer and we do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, and gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class

Benefits

These are full-time permanent employee positions with benefits including healthcare, 401k, PTO, sick leave, and paid holidays.