Remote SIU Investigator: Healthcare Coding & Fraud
Healthcare Fraud Shield
- Remote job
A leading company in healthcare fraud prevention is seeking a talented Coder or Clinical Coder/Fraud Investigator. This full-time role involves analyzing patient medical records, documenting findings, and ensuring compliance with coding guidelines. The position is remote work eligible, requiring a CPC certification and a minimum of one year of coding experience. Join a dedicated team committed to preventing healthcare fraud and ensuring payment integrity. #J-18808-Ljbffr Healthcare Fraud Shield
- ...your job application. Healthcare Fraud Shield will not contact... ...Clinical Coder/Fraud Investigator to join our team. RESPONSIBILITIES... ...Work with SIU Team (Clinical... ...discuss to make appropriate coding determinations as... ...development initiatives ~ Remote work eligible...Remote workFraudFull timeFlexible hours
$72.8k - $130k
...Principal Investigator At UnitedHealthcare, we're simplifying... ...and prevention of healthcare fraud, waste, and abuse. The... ...flexibility to work remotely from anywhere within... ...Investigations Unit's (SIU's) case tracking system... ...(CFE) CPT & ICD Coding experience Specialized...Remote workFraudMinimum wageFull timeWork experience placementWork at officeLocal area$56.2k - $101k
...flexibility. Please note: this is a remote role with preference on... ...residing 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: $56,200.00 -...Remote workFraudFull timePart timeWork at officeFlexible hours$56.2k - $101k
Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations... ...time off plus holidays Flexible approach to work with remote, hybrid, field, or office schedules Additional...Remote workFraudWork at officeFlexible hours- ...Accountable for investigating claims suspected of fraud, the remote SIU Investigator will provide superior customer service while safeguarding the company and its insureds through thorough investigations and proactive claims review. Key responsibilities Conduct complete...Remote workFraud
- ...Safepoint Insurance is seeking an SIU Examiner in Louisiana to identify and handle all aspects of fraud investigations within the Claims Department. You will review SIU reported... ..., and the ability to work independently in a remote home-office environment. #J-18808-Ljbffr...Remote workFraudHome office
- ...seeking skilled and experienced Field Investigators for a fully remote, as needed position. This role... ...investigating various insurance claims including fraud and liability, offering flexible... ...and Special Investigations Unit (SIU) assignments, ensuring adherence to instructions...Remote workFraudFlexible hours
$25 - $29 per hour
...Part-Time SIU/Claims Investigator For the past 28 years, Advantage Investigations has been the Nation... ..., Net-Sweep Investigations, Remote Controlled Surveillance, and more, we'... ...our clients time and money on insurance fraud cases. Advantage Investigations is...Remote workFraudBi-weekly payHourly payPart timeWork at officeFlexible hours- ...CVS Health seeks an SIU Investigator to conduct investigations into healthcare fraud and abuse, pursue prevention and prosecution, and recover funds while ensuring regulatory compliance. The role requires 1–3 years of investigative experience and proficiency with Word...Fraud
- ...CVS Health is hiring an SIU Investigator in New Jersey to conduct investigations aimed at preventing and prosecuting healthcare fraud and abuse, and to help recover funds while complying with federal and state regulations. Ideal candidates have 1–3 years of experience,...Fraud
- ...The SIU Investigator will conduct field as well as desk investigations of insurance claims referred... ...Special Investigator will function as a remote investigator working from her/his... ...SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement...Remote workFraudWork experience placementWork at office
- ...Special Investigations Unit (Siu) Desk Investigator At AssuranceAmerica, we are more than a unique... ...investigations involving suspicions of insurance fraud related to the application of... ...standards, and professional codes of conduct to maintain trust and credibility...Remote workFraudContract workWork at officeRelocation package
- SafePoint Insurance is seeking a seasoned SIU Investigator to manage fraud investigations across our claims portfolio. You will review referrals, conduct... ...626 requests, and stay current with state regulations. Remote work from a home office is supported with a professional...Remote jobFraudWork from homeHome office
- ...CVS Health is seeking a SIU Investigator to conduct investigations into healthcare fraud and abuse, pursuing prevention, investigation, and prosecution. You will help recover funds and ensure compliance with federal and state regulations, while leveraging open-source...Fraud
- ...CVS Health is seeking an SIU Investigator to conduct investigations aimed at preventing, detecting, and prosecuting healthcare fraud and abuse. This role supports compliance with federal and state regulations and helps recover funds. The position requires 1–3 years in...Fraud
- Chicago, IL (Remote) Des Plaines, IL 60018, USA Description... ...for indicators of fraud or suspicious activity... ...and triage the SIU’s cases based on risk,... ...of complex, high-value investigations from intake through resolution... ...of plans to fit your healthcare needs. Employer-Paid...Remote jobFraudTemporary workWork at officeFlexible hours
- We are seeking a Senior Healthcare Fraud Investigator to support our program integrity efforts through hands‑on investigation of potential fraud,... ...terminology knowledge and/or experience with CPT and ICD-10 coding. Additional Qualifications Proficiency with Microsoft...Remote workFraudWork at office
$79.56k - $115.72k
...an exciting place to be within the healthcare industry. As a member of Mass General... ...Responsible for conducting confidential investigations of suspected fraud, waste & abuse (FWA) involving... ...Somerville roughly once per month Remote Type Hybrid Work Location 39...Remote workFraudContract workWork at officeLocal areaFlexible hoursShift work- ...CareOregon, Inc. is seeking a Special Investigations Unit Investigator responsible for administering fraud, waste, and abuse duties, ensuring effective measures to... ...preparing reports, and maintaining compliance with healthcare regulations. The ideal candidate will have...Remote workFraud
- ...Centene Corporation seeks a candidate to investigate allegations of potential healthcare fraud and abuse. This role involves conducting thorough investigations... ...in the field is required. The position offers a remote working option for candidates residing within Ohio and...Remote workFraud
- ...Centene Corporation is seeking an investigator to tackle healthcare fraud and abuse, essential for transforming health in communities. This remote role requires a bachelor's degree and at least one year of experience in medical claim investigations. You'll conduct thorough...Remote workFraudFlexible hours
- A leading health organization seeks an investigator for healthcare fraud allegations. Responsibilities include conducting investigations, analyzing... ...a minimum of 5 years in fraud investigations. This is a remote role with a strong preference for residents of New York....Remote workFraud
- ...Job Opportunity Council Capital is a healthcare-focused private equity firm based in... ...analytics with expert review to surface fraud, waste, and abuse across Medicare, Medicaid... ...but you will not manage anyone. Strong investigators here come from healthcare payer/vendor...Remote workFraud
- ...CVS Health is seeking a Special Investigations Unit Investigator to conduct investigations aimed at preventing and pursuing healthcare fraud and abuse, while ensuring compliance with federal and state regulations. Ideal candidates will have 1–3 years of investigative...Fraud
- ...Centene Corporation is seeking an investigator in Arkansas to tackle healthcare fraud and abuse activities. The role involves conducting thorough investigations, performing data analysis, and preparing reports for federal and state agencies. The ideal candidate should...Remote workFraudFlexible hours
$56.2k - $101k
...Centene Management Company LLC is looking for a skilled investigator to focus on potential healthcare fraud and abuse activities. The candidate will analyze claims, conduct investigations, and prepare detailed reports for regulatory agencies. A Bachelor's degree in Business...Remote workFraudFlexible hours- ...seeking a dedicated individual to join their team focusing on healthcare fraud investigations. This role involves managing complex cases, preventing... ...care fraud investigations, a thorough knowledge of coding standards, and strong analytical skills. This full-time position...FraudFull time
$70.1k - $126.2k
...VP of Compliance Investigations this position assists... ..., the Centene Code of Conduct, and internal... ...People Relations, SIU, Privacy, Finance,... ...in a regulated healthcare environment... ...Certifications Certified Fraud Examiner (CFE)... ...approach to work with remote, hybrid, field or...Remote workFraudFull timePart timeWork at officeFlexible hours- ...Jobtailor in Chantilly, VA seeks a skilled investigator to generate and progress fraud investigations across healthcare, contracting, and public funds. You will collaborate with ACE AUSAs and agency personnel to develop leads, review financial records, and analyze complex...Fraud
- Centene Management Company LLC is seeking candidates for a position dedicated to investigating allegations of healthcare fraud and abuse within the Kentucky Medicaid Program. The ideal applicant will have a Bachelor's Degree in a related field and a minimum of three years...Remote jobFraud
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