Remote SIU Investigator & Coding Specialist
Healthcare Fraud Shield
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 Codes, DRG and ICD-9/ICD-10, and determine appropriate billing and reimbursement while maintaining privacy standards. You will document findings in spreadsheets, summarize them in reports, and provide subject matter expertise for clients. Remote work eligible; 401(k), generous PTO, and professional development opportunities are offered. #J-18808-Ljbffr
Vacancy posted 16 hours ago
Similar jobs that could be interesting for youBased on the Remote SIU Investigator & Coding Specialist in Wildwood, MO vacancy
- ...Coder or Clinical Coder/Fraud Investigator to join our team. Key Responsibilities Work with SIU Team (Clinical Reviewers, CPCs... ..., discuss to make appropriate coding determinations as needed) Analyze... ...development initiatives ~ Remote work eligible REMOTE WORK...Remote workFlexible hours
- ...VRC Investigations in Phoenix, AZ is seeking experienced SIU investigators for part-time (and full-time hourly) roles. This hybrid position requires travel within the city and state and offers work-from-home flexibility while joining a team of professionals to deter insurance...Remote workHourly payFull timePart timeWork from home
VRC Investigations
Phoenix, AZ3 days ago - ...Marshall Investigative Group in Long Island, NY seeks a part-time SIU Investigator to conduct complex investigations into suspected insurance fraud, misconduct, and other suspicious activity. Fieldwork, interviews, research, and documentation are core duties. The role...SuggestedPart timeWeekend work
Marshall Investigative Group
New York, NY16 hours ago - ...To manage comprehensive fraud, waste, and abuse investigations, the full-time remote CPC Certified Senior SIU Investigator will develop investigative strategies, analyze data, and prepare detailed reports while collaborating with various stakeholders. Key responsibilities...Remote workFull timeWork experience placement
Virtual Vocations Inc
United States3 days ago - ...Experienced in auto claims investigations, the full-time Florida Licensed SIU Investigator will lead comprehensive SIU investigations on complex auto claims... ...with data science teams, all while working remotely. Key responsibilities Lead end-to-end SIU investigations...Remote workFull time
Virtual Vocations Inc
United States4 days ago - ...EMC Insurance Companies seeks a Senior SIU Investigator to examine complex referrals, review related files, and coordinate with multiple parties... ...location and qualifications. The position supports remote work from anywhere in the United States and offers comprehensive...Remote work
EMC Insurance
Des Moines, IA1 hour ago $30 - $35 per hour
...VRC Investigations in Nashville, TN is seeking experienced, self-determined SIU investigators for part-time and full-time hourly roles. This hybrid position requires travel within the advertised city and state and offers paid formal training. Responsibilities include investigating...Remote workBi-weekly payHourly payFull timePart timeVRC Investigations
Nashville, TN2 days ago$75.91k - $97.49k
...SIU Senior Investigator# Careers## SIU Senior InvestigatorApply: Remote: Iowa: Full time: Posted Today: R6592**At EMC, we’re all about working together to make an... ...casualty experience preferred* Fraud Claim Law Specialist (FCLS) designation within the first year of hire...Remote workFull timeWork at officeWork from homeEMC Insurance
Des Moines, IA15 hours ago$22 - $28 per hour
...for an accommodation or an alternative application process. SIU Investigator Part Time Technical Saint Paul, MN, US Salary Range: $22.00 To... ...Surveillance, Claims Investigations, Net-Sweep Investigations, Remote Controlled Surveillance, and more, we’re able to save our...Remote workBi-weekly payHourly payPart timeWork at officeFlexible hoursAdvantage Surveillance
Saint Paul, MN3 days ago- ...JOB DESCRIPTION Job Summary Provides investigative support for special investigation unit (SIU) activities. Responsible for supporting for the prevention, detection... ...and recognizing and adhering to national and local coding and billing guidelines in order to maintain coding...Remote workContract workWork at officeLocal area
Molina Healthcare
Sioux Center, IA3 days ago - ...Conduct complex, in-depth investigations of reported fraud involving the full range of healthcare... ...guidance to the Fraud Investigators on SIU investigations and issues. Assist with... ...Conduct medical record assessments, and CPT coding issues. Provide guidance and mentor to...Remote workWork experience placement
EmblemHealth
New York, NY4 days ago - ...Job DescriptionProvides support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and... ...Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor...Remote workContract workWork at officeLocal area
Molina Healthcare
United States2 days ago $56.2k - $101k
...behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding and billing issues and identifies potential... ...and pharmacies. Key Details : This is a remote position. Candidates must hold an active...Remote workFull timePart timeWork at officeFlexible hours- ...Optum is seeking an SIU Lead Investigator to drive investigations into healthcare fraud, abuse, and related conduct. You will triage, document... ...compliance with laws and policies. You will work remotely from anywhere in the U.S., collaborating with legal, compliance...Remote work
Optum
Saint Paul, MN18 hours ago $60.2k - $107.4k
...have the flexibility to work remotely* as you take on some tough challenges... ...metCollaborate with clinical coding consultant to apply knowledge... ...validity of aberrances (SIU only)Gather all relevant... ...articulate behavior through an Investigation Summary and compliance package...Remote workMinimum wageFull timeWork experience placementLocal areaReliant Medical Group
Arlington, VA3 days ago- ...Molina Healthcare Inc. is seeking an experienced professional to support the Special Investigation Unit (SIU) activities focused on medical provider CPT coding fraud, waste and abuse. You will investigate post-payment claims against records and summarize findings for...
Molina Healthcare
New York, NY2 days ago - ...Kemper is seeking a remote SIU Investigator to conduct field and desk investigations of insurance claims referred to the Special Investigative Unit. The role is based from home and serves the Houston and surrounding areas, requiring travel as needed. Responsibilities include...Remote workWork from home
Kemper
New York, NY1 day ago $72.04k - $94.55k
...Hi, we're Oscar. We're hiring a Senior Analyst, SIU Investigator to join our SIU team. Oscar is the first health insurance company built... ...Investigations Manager, SIU. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida;...Remote workFull timeWork from homeHome officeOscar Health
Yuma, AZ3 days ago- ...Investigator II - Carelon Payment Integrity SIU This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity... ...make an impact: Claim reviews for appropriate coding, data mining, entity review, law enforcement referral...Work at officeLocal area2 days per week1 day per week
Elevance Health
Atlanta, GA3 days ago - Military, Veterans and Diverse Job Seekers seeks a SIU Investigator to conduct field and desk investigations of insurance claims from a remote home office, servicing Los Angeles, CA and surrounding areas. You will analyze facts, obtain evidence, and direct examinations...Remote jobHome office
- The SIU Investigator will conduct field as well as desk investigations of insurance claims referred... ...Investigator will function as a remote investigator working from her/his residence... ...image to the public. Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA...Remote workWork experience placementWork at office
$25 - $50 per hour
...management support Professional autonomy in case strategy & scheduling Paid travel for field investigations when required Job Summary The SIU Investigator conducts field and remote investigations involving insurance claims. This role requires a strong understanding of...Remote workHourly payPart timeWork at officeHome officeFlexible hoursAfternoon shift- ...Becker & Co Inc is seeking skilled and experienced Field Investigators for a fully remote, as needed position. This role involves investigating various... ...perform surveillance and Special Investigations Unit (SIU) assignments, ensuring adherence to instructions while maintaining...Remote workFlexible hours
J T Becker & Co Inc
Brooklyn, NY13 hours ago - ...development ~ Tuition assistance Job Summary: The SIU Field Investigator is responsible for investigating the facts surrounding insurance... .... This hybrid role split consists of approximately 60% remote/desktop investigations and 40% local field investigations. The...Remote workLocal areaFlexible hoursAfternoon shift
Selective Investigations Inc.
Miami, FL11 days ago - Molina Healthcare is seeking a dedicated investigator to support the Special Investigations Unit (SIU) with medical coding fraud, waste and abuse reviews. You will analyze CPT coding, review post-payment claims, and prepare case materials for potential law enforcement action...
- UnitedHealth Group seeks a senior investigator in Virginia to lead data-... ...fraud investigations within FWA/SIU. You will gather facts,... ...experience in health insurance claims, coding knowledge, and proficiency with Excel/Word. You can work remotely from Virginia with travel to...Remote job
- ...Selective Investigations Inc. is seeking a Hybrid SIU Field Investigator to conduct desktop and local field investigations across Dade and Broward Counties... ..., cell phone, and high-speed internet, with 60% remote/desktop work and 40% on-site investigations. #J-18808-...Remote workLocal area
Selective Investigations
Doral, FL3 days ago - Becker & Company is seeking skilled Field Investigators for full-time work in the New York City area. The role emphasizes surveillance and SIU assignments, flexible hours, and confidential handling of sensitive information. A licensed investigator with strong writing and...Remote jobFull timeFlexible hours
- ...Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring coding accuracy and compliant documentation. The role requires... ...4 familiarity, and the ability to communicate findings to investigators and regulators. 40-hour, full-time position with...Full time
Preferra Insurance
Des Moines, IA13 hours ago - ...Job Title: Temporary Special Investigations Unit (SIU) Specialist Job Type: Full-Time Temporary Contract (Up to 6 Months) Location: Rancho Cucamonga, CA 91730 Work Schedule: Hybrid (Mon & Fri Remote / Tue–Thu Onsite) Position Overview The Special Investigations Unit (SIU...Remote workFull timeTemporary work
The Judge Group
Rancho Cucamonga, CA5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote SIU Investigator & Coding Specialist. Be the first to apply!
Related searches
- housing investigator Wildwood, MO
- community outreach specialist Wildwood, MO
- housing specialist Wildwood, MO
- housing program specialist Wildwood, MO
- remote medical billing part time Wildwood, MO
- remote customer support Wildwood, MO
- remote web developer part time Wildwood, MO
- customer service representative (remote from home) Wildwood, MO
- companies hiring remote Wildwood, MO
- implementation project manager remote Wildwood, MO