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

Remote SIU Investigator: Healthcare Coding & Fraud

Healthcare Fraud Shield

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

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote SIU Investigator: Healthcare Coding & Fraud in Chesterfield, MO vacancy
  •  ...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 work
    Fraud
    Full time
    Flexible hours

    Healthcare Fraud Shield

    Wildwood, MO
    1 day ago
  • $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 work
    Fraud
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    Genoa Telepsychiatry

    United States
    2 days ago
  • $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 work
    Fraud
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    Brooklyn, NY
    23 hours ago
  • $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 work
    Fraud
    Work at office
    Flexible hours

    Centene Management Company LLC

    Florida, NY
    4 days ago
  •  ...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 work
    Fraud

    Virtual Vocations Inc

    United States
    23 hours ago
  •  ...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 work
    Fraud
    Home office

    Safepoint Insurance Company

    Harahan, LA
    4 days ago
  •  ...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 work
    Fraud
    Flexible hours

    J T Becker & Co Inc

    Brooklyn, NY
    4 days ago
  • $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 work
    Fraud
    Bi-weekly pay
    Hourly pay
    Part time
    Work at office
    Flexible hours

    Advantage Investigations

    Las Vegas, NV
    23 hours ago
  •  ...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

    Hispanic Alliance for Career Enhancement

    Columbia, SC
    4 days ago
  •  ...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

    Hispanic Alliance for Career Enhancement

    Ewing, NJ
    4 days ago
  •  ...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 work
    Fraud
    Work experience placement
    Work at office

    Military, Veterans and Diverse Job Seekers

    Los Angeles, CA
    1 day ago
  •  ...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 work
    Fraud
    Contract work
    Work at office
    Relocation package

    AssuranceAmerica

    United States
    1 day ago
  • 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 job
    Fraud
    Work from home
    Home office

    SafePoint Insurance

    New Orleans, LA
    3 days ago
  •  ...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

    Hispanic Alliance for Career Enhancement

    Santa Fe, NM
    4 days ago
  •  ...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

    CVS Health

    Hartford, CT
    4 days ago
  • 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 job
    Fraud
    Temporary work
    Work at office
    Flexible hours

    Efinancial, LLC

    Chicago, IL
    1 day ago
  • 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 work
    Fraud
    Work at office

    Community Care Plan

    Florida, NY
    1 day ago
  • $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 work
    Fraud
    Contract work
    Work at office
    Local area
    Flexible hours
    Shift work

    Mass General Brigham

    Somerville, MA
    1 day ago
  •  ...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 work
    Fraud

    CareOregon

    United States
    4 days ago
  •  ...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 work
    Fraud

    Centene Corporation

    Lansing, MI
    1 day ago
  •  ...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 work
    Fraud
    Flexible hours

    Centene Corporation

    Wausau, WI
    23 hours ago
  • 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 work
    Fraud

    Centene Corporation

    New York, NY
    1 day ago
  •  ...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 work
    Fraud

    City of Groton

    United States
    23 hours ago
  •  ...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

    Hispanic Alliance for Career Enhancement

    Dover, DE
    4 days ago
  •  ...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 work
    Fraud
    Flexible hours

    Centene Corporation

    Little Rock, AR
    23 hours ago
  • $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 work
    Fraud
    Flexible hours

    Centene Management Company LLC

    Florida, NY
    2 days ago
  •  ...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... 
    Fraud
    Full time

    Hispanic Alliance for Career Enhancement

    Topeka, KS
    1 day ago
  • $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 work
    Fraud
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    California, MO
    4 days ago
  •  ...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

    Jobtailor

    Chantilly, Loudoun County, VA
    4 days ago
  • 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 job
    Fraud

    Centene Management Company LLC

    Brooklyn, NY
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote SIU Investigator: Healthcare Coding & Fraud. Be the first to apply!