Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

CPC SIU Medical & Behavioral Coding Investigator

CVS Health

CVS Health Corporation in Columbus, OH is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). You will ensure coding accuracy and compliance across medical records, behavioral health, transportation and other healthcare services. The role requires CPC certification, 3+ years of medical coding experience including record review, proficiency with CPT/HCPCS/Revenue Codes, and strong written and verbal communication. #J-18808-Ljbffr CVS Health

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the CPC SIU Medical & Behavioral Coding Investigator in Columbus, OH vacancy
  • About Us:Insight Service Group (ISG) is a national investigative services firm specializing in cost containment and anti-fraud related services...  ...within our operations. Our Special Investigations Unit (SIU) plays a vital role in identifying and mitigating risks associated... 
    Suggested
    For subcontractor

    Insight Service Group, ISG

    Columbus, OH
    3 days ago
  • Insight Service Group (ISG) seeks a meticulous SIU Investigator to conduct comprehensive investigations into potential fraud and misconduct. You will perform scene recreations, gather statements, collect documents, and compile time-stamped reports to support findings.... 
    Suggested

    Insight Service Group, ISG

    Columbus, OH
    3 days ago
  • $46.99k - $112.2k

     ...Providers and Practices to effectively pursue the prevention, investigation and prosecution of Fraud, Waste and Abuse. + Collaboration with...  ...+ Proficient in data analysis and research + Knowledge of Medical Terminology Preferred Qualifications + Credentials such as certification... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Local area

    CVS Health

    Worthington, OH
    1 day ago
  • $65k - $88.6k

     ...an experienced Healthcare Investigator to join its industry leading...  ...to join Humana’s SIU. The Fraud and Waste Professional...  ...research and medical record reviews o CPT code experience o Experience...  ...Clinical Certifications, CPC, CCS, CFE, AHFI) • Experience... 
    Suggested
    Full time
    Temporary work
    For contractors
    Apprenticeship
    Work at office
    Local area
    Remote work
    Work from home
    Home office
    Monday to Friday

    Humana

    Columbus, OH
    1 day ago
  • $60.2k - $107.4k

     ...Description - Senior Investigator (2390726) Optum is a global...  ...gathered to determine behavior and understand...  ...Collaborate with clinical coding consultant to apply knowledge...  ...of aberrances (SIU only) Gather all relevant...  ..., and review medical documentation as needed... 
    Suggested
    Minimum wage
    Full time
    Work experience placement
    Local area
    Remote work
    Monday to Friday

    Optum

    Dublin, OH
    5 days ago
  •  ...Role Overview: The Investigator is responsible for conducting comprehensive investigations...  ...necessary functions to support all aspects of SIU investigations and responsibilities to...  ...and/or Medicare/Medicaid/Pharmacy/Behavioral Health/Pharmacy Benefit Management knowledge... 
    Contract work
    Work experience placement
    Local area
    Remote work
    Flexible hours

    AmeriHealth Caritas

    Dublin, OH
    1 day ago
  • $70.35k - $205.8k

     ...of our business, and our global Cyber Investigation and Forensic Response (CIFR) practice is...  ...capabilities (unpacking, deobfuscation, behavior analysis) You have made contributions...  ...competitive suite of benefits including medical, dental, vision, life, and long-term disability... 
    Work experience placement
    Live in
    Work at office
    Local area

    Accenture

    Columbus, OH
    17 hours ago
  •  ...Senior Fraud InvestigatorThis Senior Fraud Investigator is responsible for detecting,...  ...processes under the Uniform Commercial Code (UCC), including breach of warranties and...  ...sound ethical judgment regarding personal behavior, conduct and business practices, and escalate... 
    Work at office
    Local area

    Opportunities

    Columbus, OH
    5 days ago
  • $20 - $22 per hour

     ...Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance...  ...opportunities for claim investigators, SIU investigators, and surveillance...  ...investigations experience BENEFITS: Medical, dental, vision, basic life, AD&D, retirement... 
    Work experience placement
    Work at office
    Local area

    Allied Universal® Compliance and Investigations

    Columbus, OH
    17 days ago
  • $53k - $55k

    Licensed Social Worker - Healthcare Investigator - State of Ohio Work Location: Remote - Must...  ...: Quarterly performance bonuses Medical, dental, and vision insurance 401(k) with...  ...Mental Health Services, Addiction Services, Behavioral Health, Human Services, Vulnerable... 
    Work at office
    Remote work
    Work from home
    Flexible hours

    Staffing Solutions Organization LLC (SSO)

    Columbus, OH
    4 days ago
  • $26.42 per hour

     ...Financial Crimes Operations Specialist to support our fraud investigations and regulatory reporting team. This position plays a key role...  ...referrals, and account activity for potential fraudulent or unusual behavior. Conduct analysis to identify the root cause of issues and... 
    Contract work

    Russell Tobin

    Columbus, OH
    1 day ago
  • $145.46k - $193.94k

     ...prioritization, and intelligence production. Use technical knowledge of adversary capabilities, infrastructure, malware, and network behavior to define, develop, and implement techniques for tracking sophisticated adversaries and delivering actionable threat intelligence... 
    Full time
    Temporary work
    Remote work

    Lumen

    Columbus, OH
    2 days ago
  • A leading medical institution is seeking applicants for a tenure-track position in the Division of General Internal Medicine aimed at Clinician Investigators and PhD Researchers. Ideal candidates will be expected to engage in research, service, and teaching, with a focus... 

    The Ohio State University Wexner Medical Center

    Columbus, OH
    3 days ago
  •  ...Medicaid and HCBS programs. Position Summary: The Healthcare Investigator plays a critical role in safeguarding the health, safety, and...  ...or emotionally challenging information Benefits (Through SSO): Medical, dental, and vision insurance 401(k) with discretionary employer... 
    Remote work
    Work from home
    Flexible hours

    Staffing Solutions Organization LLC

    Columbus, OH
    1 day ago
  • $66.64k - $78.4k

     ...family boost your health, protect your financial security and give you peace of mind. Our benefits include the following:Healthcare (medical, dental, vision)Basic term and optional term life insuranceShort-term and long-term disabilityPregnancy disability and parental... 
    Work at office
    Local area
    3 days per week

    U.S. Bank

    Columbus, OH
    4 days ago
  •  ...Description BCforward is currently seeking a highly motivated Fraud Investigator (Compliance Analyst) – Columbus Ohio 43240 Job Title: Fraud...  .... Training topics may include: Compliance with the U.S. Bank Code of Ethics and all Anti-Money Laundering, Bank Secrecy Act,... 
    Work experience placement

    BCforward

    Columbus, OH
    3 days ago
  •  ...DutiesIndependently plan, organize, and conduct complex criminal investigations into violations of U.S. statutes and DFAS policies such as fraud, egregious employee misconduct, and theft or misuse of government equipment.Collect, analyze, and evaluate evidence and statements... 
    Interim role

    US Department of War

    Columbus, OH
    5 days ago
  •  ...CVS Health is seeking a Senior Investigator in Ohio to conduct high‑level investigations of healthcare fraud and abuse, including Medicaid...  ...4+ years in healthcare fraud investigations; CPT/HCPCS/ICD10 coding knowledge; advanced Excel pivot tables; willingness to travel... 

    CVS Health

    Columbus, OH
    4 days ago
  •  ...Required Qualifications ~3–5+ years of experience in Fraud Investigation, Financial Crimes, AML/BSA, or Banking Risk Operations. ~ Hands...  ...analyze complex transaction patterns and identify suspicious behavior. ~ Strong investigative, analytical, documentation, and... 

    BCForward

    Columbus, OH
    13 days ago
  • $26 - $26.43 per hour

     ...Our client, a financial industry, is looking to hire a Fraud Investigator in Columbus, OH 43240. Position Title: Fraud Investigator Work Location: Columbus, OH 43240 Duration: 6 Months (Contract), possible extension Target Start Date: December 7, 2026 Work... 
    Contract work
    Work experience placement

    Pride Global

    Columbus, OH
    3 days ago
  •  ...totaling up to 8% for team members Comprehensive healthcare: Medical, dental, vision, virtual care, and mental health support Financial...  ...you reach your full potential Responsibilities The Fraud Investigator II role is focused on independently managing a broad range of... 
    Full time
    Work experience placement
    Work at office
    Local area
    Remote work
    Work from home

    Grow Financial

    Columbus, OH
    3 days ago
  •  ...Principal Investigator (MD/DO) We are seeking a US board certified MD/DO to work as a Principal Investigator to lead clinical trials in Columbus, OH. In this role, you will provide medical oversight, ensure patient safety, and collaborate with study teams and sponsors... 

    System One Holdings, LLC

    Columbus, OH
    3 days ago
  • Job AnnouncementThis job announcement uses the USA Hire Assessment to evaluate applicants. For more information, visit USA Hire Assessment. The General Schedule (GS) basic pay schedule may vary by geographic locality. To view pay rates in a specific location visit the ...
    Work at office

    US Government Jobs

    Columbus, OH
    4 days ago
  • $60 - $65 per hour

     ...alternative application process. 101 - Clinical Investigators PRN Professional Columbus, OH, US 30+...  ...we offer competitive benefits include medical and dental coverage, a matching 401(k),...  ...policy. Able to initiate or modify behavior to achieve desired outcomes despite... 
    Hourly pay
    Contract work
    Relief
    Work at office
    Immediate start
    Night shift

    Evolution Research Group

    Columbus, OH
    2 days ago
  •  ...Department. The role monitors accounts and transactions to identify unusual activity and to differentiate normal from suspicious behavior. The analyst will maintain BSA compliance, analyze alerts from monitoring systems, and assist in documenting review findings while... 
    Bank staff

    WesBanco, Inc.

    Columbus, OH
    1 day ago
  • UnitedHealth Group is seeking a Senior Investigator to gather and analyze data, determine validity of aberrances, and prepare comprehensive...  ...regulators, and external sources. The position requires 5+ years in FWA/SIU, 2+ years in health insurance claims, and up to 25% travel... 
    Remote job

    Optum

    Dublin, OH
    5 days ago
  • Staffing Solutions Organization LLC (SSO) is seeking a Licensed Professional Counselor to join our remote Healthcare Investigator team in Ohio. The role conducts investigations into Medicaid incidents, analyzes documentation, interviews involved parties, and ensures compliance... 
    Remote job
    Local area
    Work from home

    Staffing Solutions Organization LLC (SSO)

    Columbus, OH
    3 days ago
  • NetJets seeks a Safety Investigator to support the Safety Investigations Manager in executing the Safety Program. The role involves conducting investigations of incidents, hazards, and accidents, and supporting SRM with collaboration across departments and third parties... 
    Remote job

    NetJets IP, LLC

    Columbus, OH
    3 days ago
  • Huntington Bank is seeking a Senior HR Case Investigator to lead complex workplace investigations involving misconduct, policy violations, retaliation, and harassment. You will define scope, interview senior leaders, assess credible evidence, and deliver well-supported... 

    Huntington

    Columbus, OH
    3 days ago
  • $66.64k - $78.4k

     ...Enterprise Financial Crimes Compliance AML Investigations division, you will be part of the bank’s...  ...include the following: Healthcare (medical, dental, vision) Basic term and optional...  ...Bank policies and procedures including the Code of Ethics and Business Conduct and... 
    Temporary work
    Work experience placement
    Work at office
    Local area
    3 days per week

    U.S. Bank

    Columbus, OH
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to CPC SIU Medical & Behavioral Coding Investigator. Be the first to apply!