• Investigator , Coding SIU

    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
    Molina Healthcare (11/06/24)
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  • Special Investigations Unit

    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
    UPMC (11/22/24)
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  • Clinical Investigator Behavioral Health

    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
    Centene Corporation (11/21/24)
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  • FWA Investigator Coder Sr. Associate…

    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
    Commonwealth Care Alliance (11/26/24)
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