New9h ago
- Specialty: Utilization Review
- Job type: Full-time
- Salary: $60,000 – $90,000
- License states: Maryland
RemoteBehavioral Health+2
Job detailsThe Clinical Provider Auditor Lead is responsible for conducting clinical audits of behavioral health providers to ensure compliance with regulatory and contractual requirements. This role involves reviewing medical records, claims, and documentation to identify overpayments, underpayments, and quality of care issues. The position is fully remote but requires residence in Maryland. Requires an active RN license in Maryland, 5+ years of clinical experience in behavioral health, and experience with provider auditing. Salary range: $80,000–$120,000.
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