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
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$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...SuggestedHourly payFull timeTemporary workLocal area$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...SuggestedFull timeTemporary workFor contractorsApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to Friday$60.2k - $107.4k
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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 officeRemote workWork from homeFlexible hours$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$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 timeTemporary workRemote work- 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...
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...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 officeLocal area3 days per week- ...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
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$26 - $26.43 per hour
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- 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
$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 payContract workReliefWork at officeImmediate startNight shift- ...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
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$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 workWork experience placementWork at officeLocal area3 days per week
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