Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelin

The Special Investigations Unit (SIU) Director oversees all commercial and government medical claims related fraud, waste, and abuse activities. ESSENTIAL DUTIES AND RESPONSIBILITIES Develops and implements a strategic plan for the identification, investigation, recovery, and prevention of fraud against the Health Plan. Minimize risk of loss due to fraudulent and/or abusi