Denita Johnson
Clinical Fraud Investigator Ii @Anthem, Inc
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WORK HISTORY
Clinical Fraud Investigator Ii @Anthem, Inc
Performs comprehensive analysis and clinical evaluation of collected dataPerforms in-depth investigations on identified providers as warranted Examines claims for compliance with relevant billing and processing guidelinesReview and conducts analysis of claims and medical records prior to paymentIdentify opportunities for fraud and abuse prevention and control
EDUCATION
Indiana Wesleyan University
Bachelor's Degree
Indiana Wesleyan University
Master of Business Administration (MBA)
ABOUT DENITA JOHNSON
Results driven, performance-focused professional with a passion for training and educating providers, coding, auditing, and compliance. Highly skilled with the demonstrated ability to develop trainings and lead projects. Highly recognized for management versatility, ability to handle multiple levels of task, and responsibilities. Have the ability to work independently. Ability to adapt to change and challenges.
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