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Lead Provider Audit Analyst

Company: VirtualVocations
Location: Vista
Posted on: May 16, 2025

Job Description:

A company is looking for a Lead Provider Audit Analyst.
Key Responsibilities

Plan, coordinate, and execute audits of provider records, claims, and documentation
Review and assess the quality of provider services and documentation
Prepare detailed audit reports, analyze findings, and recommend improvements

Required Qualifications

Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field; Master's preferred
5-7 years of related work experience, with a focus on auditing or quality assurance
Certifications such as Certified Professional Medical Auditor (CPMA) may be advantageous
Experience in healthcare or insurance auditing is preferred
Proficiency in data analysis and reporting tools such as Excel, Access, SQL, or Tableau

Keywords: VirtualVocations, La Quinta , Lead Provider Audit Analyst, Accounting, Auditing , Vista, California

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