Senior Data Mining Auditor
Company: VirtualVocations
Location: Vista
Posted on: May 24, 2025
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Job Description:
A company is looking for a Senior Data Mining Auditor who will
identify medical cost savings for healthcare insurance clients
through data mining strategies and enhancements.
Key Responsibilities
Support the development and maintenance of operational reports and
dashboards for the Payment Integrity team
Produce detailed data mining reports and extract critical
information to inform stakeholders
Develop quality control processes and utilize data analytics to
reveal business insights and savings opportunities
Required Qualifications
Seven years of medical claims investigation or data mining
experience, with five years in a leadership role
Relevant medical billing and coding certification and a bachelor's
degree in a relevant field are preferred
Minimum of a high school diploma or GED
Experience with software platforms such as MS SQL Server and Power
BI
Proficiency in medical terminology and knowledge of coding
guidelines and healthcare regulations
Keywords: VirtualVocations, East Los Angeles , Senior Data Mining Auditor, Accounting, Auditing , Vista, California
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