Healthcare Fraud Shield Benefits Overview

Perform routine medical coding audits comparing billed CPT, HCPCS, ICD-10, DRG and revenue codes to medical records, document findings, summarize reports, and maintain knowledge of coding guidelines and regulations while meeting productivity targets.

Manage client onboarding and implementations: oversee timelines, analyze and map client claim data, test integrations, communicate status to clients and internal teams, and ensure documentation and privacy compliance.