- Molina Healthcare (KY)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by ... GED (or higher) **Required Experience** + 3+ years CPT coding experience (surgical, hospital, clinic settings) or 5+ years...5+ years of experience working in a FWA / SIU or Fraud investigations role for New… more
- UPMC (Pittsburgh, PA)
- … remote position. Under the direction of the manager, the Special Investigations Unit ( SIU ) Investigator is responsible for investigating assigned ... UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator...supporting current SIU staff and manager with investigations and special projects. **Responsibilities:** + Maintain… more
- Centene Corporation (Austin, TX)
- …care, laboratory, etc. Provides investigative support to the Special Investigations Unit ( SIU ) related to coding and billing issues and identifies ... benefits including a fresh perspective on workplace flexibility. POSITION IS REMOTE **Position Purpose:** Conduct comprehensive reviews of medical records and… more
- Commonwealth Care Alliance (Boston, MA)
- …referrals, claims and associated medical records to identify appropriateness of coding , care, sufficiency of documentation and compliance with health care ... and industry requirements to the different benefits and products within investigations . * Proactively seek out and develop leads, resources, and opportunities… more