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

New York, NY
  • 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

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote SIU Investigator: Healthcare Coding & Fraud in New York, NY vacancy
  •  ...your job application. Healthcare Fraud Shield will not contact...  ...Clinical Coder/Fraud Investigator to join our team. RESPONSIBILITIES...  ...Work with SIU Team (Clinical Reviewers...  ...to make appropriate coding determinations as needed...  ...initiatives Remote work eligible REMOTE WORK... 
    Remote work
    Fraud
    Full time
    Flexible hours

    Healthcare Fraud Shield

    Wildwood, MO
    2 days ago
  • A leading company in healthcare fraud prevention is seeking a talented Coder or Clinical Coder/Fraud Investigator. This full-time role involves analyzing patient...  ..., and ensuring compliance with coding guidelines. The position is remote work eligible, requiring a CPC certification... 
    Remote job
    Fraud
    Full time

    Healthcare Fraud Shield

    Chesterfield, MO
    3 days ago
  • $63.65k - $92.57k

     ...to be within the healthcare industry. As a member...  ...much more. The Fraud Analyst is building...  ...Health Plan's Special Investigations Unit; this role...  ...analytics for the SIU to find fraud...  ...knowledge of healthcare coding conventions, fraud...  ...0 PM Eastern Time Remote workspace... 
    Remote work
    Fraud
    Full time
    Contract work
    Work at office
    Monday to Friday
    Flexible hours
    Shift work

    Salem Health

    Somerville, MA
    4 days ago
  • $56.2k - $101k

     ...partner is looking for a SIU Investigator based in the United...  ...focused on protecting healthcare programs by investigating potential fraud, waste, and abuse (FWA)...  ...information, financial records, coding documentation, and...  ...that may include remote, hybrid, field, or office... 
    Remote work
    Fraud
    Work at office
    Flexible hours

    Jobgether

    United States
    5 days ago
  •  ...Compliance Investigator The Compliance Investigator is responsible...  ...corporate office, with remote work capability. We are...  ...safety, privacy, and healthcare operations across one of the...  ...compliance Billing and coding concerns Fraud, waste, and abuse risks... 
    Remote work
    Fraud
    Work at office

    Acadia Healthcare

    Franklin, TN
    1 day ago
  •  ...Job DescriptionProvides support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves...  ...apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and... 
    Remote work
    Fraud
    Contract work
    Work at office
    Local area

    Molina Healthcare

    New York, NY
    5 days ago
  •  ...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 work
    Fraud
    Full time

    Virtual Vocations Inc

    United States
    5 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

    Lansing, MI
    2 days ago
  • 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 job
    Fraud

    ISHE

    Brooklyn, NY
    3 days ago
  • 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... 
    Remote job
    Fraud

    Colorado Psychiatric

    Brooklyn, NY
    3 days 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...  ...generally 8:30-5:00 PM Eastern Time Remote workspace requirements, including privacy... 
    Remote work
    Fraud
    Full time
    Contract work
    Work at office
    Local area
    Monday to Friday
    Flexible hours
    Shift work

    Mass General Brigham Health Plan

    Somerville, MA
    3 days 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...  ...generally 8:30-5:00 PM Eastern Time Remote workspace requirements, including... 
    Remote work
    Fraud
    Full time
    Contract work
    Work at office
    Local area
    Monday to Friday
    Flexible hours
    Shift work

    Mass General Brigham Health Plan

    Somerville, MA
    2 days ago
  •  ...Clinical Certified Coder to support fraud detection and investigations in the Special Investigations Unit....  ...years of relevant experience and AAPC coding certification are required. This...  ...and integrity in handling sensitive healthcare information. #J-18808-Ljbffr MetroPlusHealth
    Fraud

    MetroPlusHealth

    New York, NY
    5 days ago
  •  ...seeking an experienced Healthcare Investigator to join its Special Investigations Unit (SIU). You will conduct investigations of fraud, waste, and abuse in Medicare...  ...adjudication. This remote role requires strong...  ..., interview skills, CPT code knowledge, and the ability... 
    Remote work
    Fraud

    Humana

    United States
    2 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

    New York, NY
    3 days ago
  •  ...delivers on our promises. Position Summary:The SIU Investigator will conduct field as well as desk...  ...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
    Full time
    Work experience placement
    Work at office

    Kemper Corporation

    Miami, FL
    5 days ago
  • $25 - $50 per hour

     ...strategy & scheduling Paid travel for field investigations when required Job Summary The SIU Investigator conducts field and remote investigations involving insurance claims....  ...principles, compensability analysis, fraud indicators, and investigative documentation... 
    Remote work
    Fraud
    Hourly pay
    Part time
    Work at office
    Home office
    Flexible hours
    Afternoon shift

    Kelley Alliance

    Tampa, FL
    2 days ago
  • $46.99k - $112.2k

     ...Senior Investigator, Aetna Special Investigations Unit We're building...  ...known or suspected acts of healthcare fraud and abuse. This position...  ...proactive data mining using SIU Tools to identify aberrant billing...  ...knowledge of medical coding; CPT, HCPCS, ICD10 ~ Proficient... 
    Remote work
    Fraud
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area

    Oak St. Health

    United States
    2 days ago
  •  ...happen. Job Summary A Special Investigations Unit (SIU) Desk Investigator within an insurance...  ...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
    3 days ago
  • $80.99k - $121.49k

     ...high-quality, affordable healthcare. Serving nearly 2...  ...Health. Job Summary The Investigator II is an essential team...  ...Investigation Unit (SIU) responsible for leading...  ...related to fraud, waste, and abuse, and...  ...contract provisions, coding rules, coverage rules,... 
    Fraud
    Contract work
    Work at office
    Work from home
    Flexible hours

    Point32Health

    Cairo, NY
    2 days ago
  • $65k - $88.6k

     ...Healthcare Investigator Humana is looking for an experienced Healthcare...  ...passion for combating Fraud, Waste, and Abuse in...  ...to join Humana's SIU. The Fraud and Waste...  ...record reviews CPT code experience Experience...  ...: While this is a remote position, occasional travel... 
    Remote work
    Fraud
    Temporary work
    Work at office
    Local area
    Work from home
    Home office

    Humana

    United States
    2 days ago
  • $77.12k - $147.39k

     ...military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military...  .... The Opportunity As a dedicated SIU Investigator (mid-level), you will work within...  ...activity in compliance with state insurance fraud-related laws and regulations and... 
    Remote work
    Fraud
    Hourly pay
    Full time
    H1b
    Work at office
    Local area

    USAA

    Remote
    2 days ago
  • Premera Blue Cross is hiring an Investigator III in our Hybrid SIU team. You will lead medium to high complexity fraud cases from start to finish, analyze claims data, and coordinate...  ...enforcement as needed. The role requires healthcare fraud investigation experience, strong... 
    Fraud

    Premera Blue Cross

    Mountlake Terrace, WA
    5 days ago
  • $80.2k - $118.3k

     ...customers’ lives by making healthcare work better, is far from ordinary...  ...of Premera’s Special Investigations Unit (SIU), the Investigator III leads...  ...allegations of external fraud, waste, and abuse (FWA). This...  ...Healthcare Common Procedure Coding System (HCPCS). Strong... 
    Fraud
    Work experience placement
    Work at office

    Premera Blue Cross

    Mountlake Terrace, WA
    3 days ago
  • Medica in Minnetonka, MN is seeking an SIU Investigator IV to lead advanced fraud, waste, and abuse investigations involving members, providers, and employees. You will manage complex cases, review evidence from multiple sources, and guide actions that support legal or... 
    Fraud

    Medica Services Company LLC

    Minnetonka, MN
    2 days ago
  •  ...Description The Nurse Investigator works as part of the...  ...Investigations Unit (SIU) team, detecting and investigating...  ...suspected fraud, waste, and abuse (FWA...  ...of clinical reviews, coding and documentation, conducting...  ..., and resolve healthcare fraud, waste, and abuse... 
    Fraud
    Contract work
    Work at office

    The Health Plan of West Virginia Inc

    Charleston, WV
    22 days 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
    2 days ago
  •  ...The University of Massachusetts Medical School seeks a Fraud Investigator II in Healthcare to combat fraud and abuse within the Medicaid program. This...  ...in Microsoft Office are essential. The position is remote, allowing for flexible work arrangements. #J-18808-Ljbffr
    Remote work
    Fraud
    Work at office
    Flexible hours

    Downtown Boulder Partnership

    United States
    2 days ago
  • $56.2k - $101k

     ...Position Purpose: Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals,...  ...that may present risks to healthcare programs and recommend...  ...medical records, billing and coding documentation, provider...  ...flexible approach to work with remote, hybrid, field or office... 
    Remote work
    Fraud
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    Oklahoma City, OK
    2 days 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
    2 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!