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Investigations & Case Management:
- Conduct complex compliance, operational, privacy, billing, coding, and risk management investigations across healthcare settings.
- Manage investigations from hotline reports, leadership referrals, and internal audits, ensuring thorough and objective case handling.
Root Cause Analysis & Operational Improvement:
- Perform detailed root cause analyses to identify underlying process failures and systemic vulnerabilities.
- Develop actionable recommendations and corrective action plans to reduce future risk exposure.
Regulatory Compliance & Risk Management:
- Review allegations for potential regulatory, billing, coding, fraud, waste, abuse, HIPAA/privacy, and operational compliance concerns.
- Analyze healthcare billing and coding documentation for compliance and reimbursement risk.
PT Solutions
PT Solutions is a rehabilitation provider dedicated to expanding access to quality care across multiple therapy disciplines. The company fosters a tight-knit community and provides industry-leading professional development opportunities, including an APTA-accredited residency program.