Remote Fraud & Prepay Coding Investigator (CPC/CCS)
Colorado Psychiatric
- Remote job
UnitedHealth Group is seeking a Coding Consultant to investigate and resolve healthcare fraud and provider abuse using CPT coding guidance. You will mentor investigators, review claims against medical records, and coordinate with internal and external stakeholders to ensure compliant, accurate coding. The role supports telecommuting from anywhere in the United States, with strong benefits, recognition programs, and opportunities for professional growth. #J-18808-Ljbffr Colorado Psychiatric
- UnitedHealth Group is seeking a Coding Consultant to investigate and resolve healthcare fraud, audit CPT coding, and provide guidance to investigators. The role supports... ...from anywhere in the U.S. and requires a CPC/CCS/RHIT/RHIA or equivalent certification with 3+ years...Remote jobFraud
$65.06k - $117.29k
...external government inquiries investigations data requests subpoenas... ...requests including fraud analytics software... ...concurrent and retrospective coding and documentation or... ...and Certifications CCS-Certified Coding Specialist... ...Professional Coder (CPC) required Knowledge, Skills...FraudContract work- ...Title Provides support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Essential Job... .... • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor...Remote workFraudContract workWork at officeLocal area
$21.82 - $51.06 per hour
...DESCRIPTION Provides support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates... .... • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical...Remote workFraudHourly payContract workWork experience placementWork at officeLocal area- Optum, a leader in health care technology and services, seeks a Coding Consultant to investigate and resolve healthcare fraud and coding issues. The role uses CPT guidance to support investigations, mentor teammates, and collaborate with internal and external stakeholders...Remote jobFraudFlexible hours
- Optum is seeking a Coding Consultant to investigate and resolve healthcare fraud and abuse, using CPT coding knowledge to document findings and guide investigations. The role offers telecommuting from anywhere in the United States and targets 8:00am-5:00pm hours with occasional...Remote jobFraud
$64k - $68k
...We offer remote work opportunities (AK, AR, AZ,... ...adjudicated DOD background investigation for this position.... ...of suspected fraud, waste and abuse (FWA... ...• Certified Coder (CPC, CPC-P, CCA, CCS-P), AHFI, or other related... ...HCPCS, DRG and Revenue Code coding conventions. Knowledge...Remote workFraudContract workTemporary workFor subcontractorInterim roleLocal areaShift work- ...leading company in healthcare fraud prevention is seeking a... ...Coder or Clinical Coder/Fraud Investigator. This full-time role involves... ...and ensuring compliance with coding guidelines. The position is remote work eligible, requiring a CPC certification and a minimum of...Remote workFraudFull time
- ...application. Healthcare Fraud Shield will not contact... ...Clinical Coder/Fraud Investigator to join our team. RESPONSIBILITIES... ...to make appropriate coding determinations as... ...Professional Coder - (CPC) through governing body... ...initiatives ~ Remote work eligible REMOTE...Remote workFraudFull timeFlexible hours
- Healthcare Fraud Shield is seeking a CPC-certified Medical Coding Specialist to join our SIU team. You will review medical records, abstract CPT/HCPCS/Revenue... ..., and provide subject matter expertise for clients. Remote work eligible; 401(k), generous PTO, and professional...Remote jobFraud
$25.6 - $42.67 per hour
...Overview:Sentara Health Plan is currently hiring a Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote!Status: Full-time, permanent position (40 hours)... ..., physician, ancillary and hospital-based coding in routine desk audits as well as occasional on-...Remote workFraudPermanent employmentFull timeTemporary workLive inCurrently hiringShift work$62.7k
...developing and maintaining an anti-fraud program which includes... ...is responsible for conducting investigations of organizational or functional... ...Professional Coder (CPC) Certified Outpatient Coder... ...claims processing systems and coding and billing proficiency Must...Remote workFraudContract workFor contractorsWork at officeLocal area- Sentara Health Plans is seeking an Associate Fraud and Abuse Investigator / Certified Professional Coder (CPC) for a remote position with occasional travel to Virginia Beach... ...a Bachelor's Degree or 2+ years in Medical Coding or related healthcare fields, CPC certification...Remote jobFraud
- Healthcare Fraud Shield is seeking a Clinical Coder/Fraud Investigator to join our SIU team at headquarters.... ...abstract CPT/HCPCS/ICD-10 codes, and prepare reports... ...standards. The role requires a CPC certification and at... ...to work independently. Remote work eligibility is available...Remote jobFraud
- Sentara Health Plan is seeking a Fraud and Abuse Investigator/Certified Professional Coder (CPC) to work remotely from eligible states. The role supports in-depth investigations into potential fraud or abuse across provider, pharmacy, and payer interactions, with on-site...Remote jobFraudFull timeMonday to Friday
$70.5k - $94.4k
...Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to... ...documentation to conduct low level investigations. The incumbent will also... ..., receive and review suspected fraud and to complete cases with all...FraudLive inLocal area- ...healthcare claims and documentation, the full-time remote Healthcare Investigator will conduct detailed audits to identify fraud, waste, and abuse while preparing reports and... ...records Working knowledge of healthcare coding, billing practices, and medical necessity criteria...Remote workFraudFull time
- ...seeking a Manager for the Special Investigative Unit/Program Integrity (CPC) role, supporting remote work across several states. You... ...certification, and 5 years of coding experience with 2 years in... ...supervision, plus strong alignment to fraud, waste and abuse controls. #J-...Remote jobFraud
- ...Conducting detailed investigations into potential fraud, waste, and abuse in healthcare claims, the full-time remote Special Investigator will review medical records and claims data... ...fraud patterns Knowledge of healthcare coding, billing, and documentation standards...Remote workFraudFull time
$56.2k - $101k
...flexibility. Please note: this is a remote role with preference on... ...within Ohio. Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning... ...analyze health care claims and coding required. Pay Range: $56,200.0...Remote workFraudFull timePart timeWork at officeFlexible hours$19.64 - $42.55 per hour
...JOB DESCRIPTION Job Summary Provides investigative support for special investigation unit (... ...recovery of money related to health care fraud, waste, and abuse (FWA). Responsible for... ...and adhering to national and local coding and billing guidelines in order to maintain...Remote workFraudHourly payContract workWork experience placementWork at officeLocal area- ...Location: Franklin, TN corporate office with remote work flexibility Travel: Up to 25% The Compliance Investigator is responsible for conducting and... ...Healthcare regulatory compliance Billing and coding concerns Fraud, waste, and abuse risks HIPAA privacy and...Remote workFraudWork at office
$107.9k - $172.64k
...hiring a Special Investigations Unit (SIU) Manager... ...correcting health care fraud, waste, and abuse.... ...leadership for a remote workforce,... ...requirements, including the Code of Conduct,... ...and workflows for prepayment and post-payment medical... ...Coder (CPC) and other Specialty...Remote workFraudWork at officeLocal areaFlexible hours2 days per week$60.2k - $107.4k
...have the flexibility to work remotely as you take on some tough challenges... ...Collaborate with clinical coding consultant to apply knowledge... ...behavior through an Investigation Summary and compliance package... ...experience working in a FWA / SIU or Fraud investigations role for...Remote workFraudMinimum wageFull timeWork experience placementLocal area- ...Profile We offer remote work opportunities (AK, AR, AZ, CO... ...adjudicated DOD background investigation for this position. Veterans... ...and reporting of suspected fraud, waste and abuse (FWA) cases... ...Facets Certified Coder (CPC, CPC‑P, CCA, CCS‑P), AHFI, or other related...Remote workFraudContract workFor subcontractorInterim role
$50k - $70k
Overview Certified Medical Coder (CPC or CCS) - Remote | WFH job at Get It - Healthcare. Springfield, NJ. Job Summary: We are looking for a detail... ...Medical Coder to join our team. As a key member of the coding department, you will be responsible for ensuring the accuracy...Remote jobFull timeWork at officeWork from homeMonday to FridayFlexible hoursShift work- ...Investigator Position For more than 165 years, the Office of the Indiana Attorney General... ...Attorney General. The Indiana Medicaid Fraud Control Unit Investigator shall investigate... ...of health care operations, billing, coding and documentation guidelines is preferred...Remote workFraudFull timeWork at officeNight shift
$65k - $88.6k
...part of our caring community The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and... ...: Work at Home. While this is a remote position, occasional travel to... ...., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI) • Experience testifying...Remote workFraudFull timeTemporary workFor contractorsApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...a highly motivated Contract Coder to join our remote team. The ideal candidate must have at least 5 years of coding experience across various surgical specialties... ...compliance with HIPAA regulations. Certifications in CPC or CCS-P are mandatory, while additional...Remote workContract work
$65k - $88.6k
...part of our caring community The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and... ...Offers We are fortunate to offer a remote opportunity for this job. Our... ...., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI). Understanding of healthcare...Remote workFraudBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday
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