Medizinische Abrechnungsfachkraft (m/w/d)
Core
Forensic billing auditor supporting prosecutors in investigating healthcare fraud and corruption by examining billing data, patient records, and provider documentation.
Role type
Senior forensic billing auditor (healthcare fraud investigation)
Builds
Forensic reports and evidence packages for court proceedings
Domain
Public prosecution / Healthcare fraud investigation
Required skills
Healthcare billing verification (EBM/GOÄ), MS Excel data analysis, forensic data preparation, investigative research, court presentation, stakeholder collaboration
Preferred skills
Experience with billing audits, innovative problem solving, team collaboration
Technologies
MS Excel, Pivot Tables
Responsibilities
Examining billing data and patient documents for documentation and billing accuracy; Verifying organizational records of service providers (schedules, logs, timesheets); Preparing forensic evaluations in Excel and presenting results via Pivot Tables; Reviewing communication records (emails, chats); Conducting case-specific internet research; Assisting in investigative measures (interrogations, searches); Presenting investigation results in court; Developing effective investigation strategies; Collaborating with prosecutors and police.