- Elevance Health (Des Moines, IA)
- ** Nurse / CPC - Clinical Fraud Investigator Senior - SIU Fraud & Abuse** **Location:** Alternate locations may be considered. This position will work ... of one of our Elevance Health PulsePoint locations. The ** Clinical Fraud Investigator Senior** is responsible for...Skills, and Experiences:** + Fraud and Abuse-experienced Nurse with a CPC are highly desired.… more
- CVS Health (Des Moines, IA)
- …Unit is seeking a Manager to lead our team of Certified Professional Coders ( CPC ). The Manager is responsible for overseeing and managing coding reviews for fraud ... healthcare costs. This role involves leading a team of CPC 's, working closely with internal and external stakeholders and...Lead and mentor a team certified coders who support fraud detection and prevention efforts. Establish team goals, monitor… more
- Molina Healthcare (Des Moines, IA)
- …License, Certification, Association** Licensed registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder ( CPC , CCS, and/or CPMA) ... Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from… more