SIU Coding & Fraud Audit Specialist
$87.5kFallon Health
Fallon Health is seeking an SIU Code Auditor in Worcester, Massachusetts, responsible for conducting coding audits of medical records to ensure documentation accuracy. The role involves supporting investigations into fraud, waste, and abuse while collaborating with healthcare providers to improve billing practices. Ideal candidates will have a Bachelor’s degree or equivalent experience, 3-4 years of healthcare auditing experience, and professional coding certifications. The role offers a salary of $87,500 annually and opportunities for professional growth in a supportive environment. #J-18808-Ljbffr Fallon Health
- ...the Associate Director or designee, the Fraud, Waste, and Abuse (FWA) Auditor serves a... ...this position is to conduct desk and onsite audits across various provider types to ensure... ...Stay current with regulatory updates, coding changes, and industry standards. Identify...FraudWork at officeRemote work
- ...management of external vendors, interaction with providers, regulatory audits, and compliance with CMS regulations. The Manager of Risk... ...suspecting, provider workflows) and retrospective (chart review, coding validation) programs, ensuring complete, accurate, and compliant...SuggestedWork at office
$70k - $80k
...are observed and followed. Conducts grounds inspections and night management walks as assigned. Identifies, calculates and processes fraud/unreported income. Monitors, reviews, and approves the write-off process. Inspects vacated units to confirm proper maintenance...FraudFull timeCasual workWork at officeLocal areaMonday to FridayNight shift- ...types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and... ..., including Surveillance and Special Investigations Unit (SIU) assignments, within an assigned geographical area. Surveillance...FraudFlexible hours
- ...Randalls in Massachusetts is looking for an Asset Protection Specialist to ensure a safe environment in-store. This role involves monitoring for fraud, compliance discrepancies and ensuring the safety of customers and associates. You will be responsible for identifying...FraudFlexible hours
- ...Shaw’s and Star Market is seeking an Asset Protection Specialist to join their team in Shrewsbury, Massachusetts. In this role, you will... ...controlling shrink by monitoring various areas of the store for fraud and compliance discrepancies. You will ensure safety and security...FraudFlexible hours
- ...The Home Depot is seeking an Asset Protection Specialist in Worcester, Massachusetts. This role is critical for preventing financial loss due to theft and fraud and ensuring compliance with safety and environmental programs across assigned stores. Responsibilities include...Fraud
- ...Position Purpose 91949BR The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental... ...monitoring the store's physical security, auditing the Electronic Article Surveillance and...Fraud
$20.5 per hour
...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program... ...monitoring the store's physical security, auditing the Electronic Article Surveillance and...FraudLocal area- ...Overview A Day In The Life: As the Asset Protection Specialist, no one day is ever the same. You are focused on preventing loss and controlling shrink by monitoring various areas of the store for fraud, compliance discrepancies, and other related activities. You work to...FraudLocal areaFlexible hours
$32 - $35 per hour
...insurance ~401(k) retirement savings plan Tradesmen International is an EO employer - M/F/Veteran/Disability “ Be Safe” from fraud! Tradesmen International will never ask you to pay for certifications, equipment, or other “up front” costs as a condition of hire....FraudWork at officeImmediate startDay shift- ...A Day in the Life: As the Asset Protection Specialist, no one day is ever the same! You are focused on preventing loss and controlling shrink by monitoring various areas of the store for fraud, compliance discrepancies, and other related activities. You work to identify...FraudLocal areaFlexible hours
- ...firm that works with businesses, families, and individuals across the MA market. Our team helps clients with everything from tax and audit to business valuations and strategic advice. We pride ourselves on building long-term relationships, providing practical...Work at officeLocal areaWork from home
- .../or Casualty insurance claims investigation, loss assessment, reserving, insurance legal and regulatory environment, litigation and fraud awareness. Ability to get work done through others, communicate effectively (including listening, writing clearly, giving constructive...FraudWork at office
$80k - $90k
...manufacturing, supply chain, and quality to track inventory movements and resolve discrepancies. Support cycle counts and physical inventory audits. Ensure compliance with GAAP/IFRS and internal controls for inventory valuation. Prepare and analyze COGS, gross margin, and...Full time$50k
Real Estate Listing & Transaction Coordinator Christopher Group Real Estate Worcester, Massachusetts, United States About this position We are searching for a listing & transaction coordinator who has a genuine desire to help others, takes pride in their quality of work...Work at officeImmediate start- ...communication skills. Ability to identify opportunities and proactively engage customers. Knowledge of banking products and digital tools. Fraud detection and prevention awareness. Managing multiple priorities and problem solving. Understanding customer needs. Preferred:...FraudTemporary work
$20 - $26 per hour
...Type: Full-Time, Billable Hours, Non-exempt Eager to start your career in a growing industry? Get paid to learn the ropes of fraud investigation and real-world surveillance. Frasco offers fully paid investigator training to help you launch your career! Check...FraudHourly payWeekly payFull timeWork at officeFlexible hoursNight shift- ...FBN, bills and transfers). Risk And Compliance Mitigate risk by controlling counter and drop safe limits according to policy. Prevent fraud and losses by adhering to mandates, as well as client and transaction authentication procedures and policies. Nedbank Goals Act in...Fraud
- ...Ensure compliance with all banking regulations, policies and procedures, including BSA/AML. Act as a deterrent to robbery and fraud by adhering to procedures. Education ~ High school diploma or equivalent required; Associate's degree or banking courses preferred...FraudWork at officeFlexible hours
$30k
...customer service, resolve concerns, minimize risk, defend against fraud, refer product solutions, and escalate complex issues for timely... ...them on self-service options. Assist with custodianship, audits, and other operational tasks. Maintain a clean and organized...FraudHourly payFull timePart timeWork experience placementWork at officeShift workAfternoon shift$55k - $65k
Real Estate Project Manager Worcester, MA | $55K-$65K (up to $75K for strong candidates) | Full-Time Mission-driven affordable housing organization seeking a hands-on Real Estate Project Manager to support development, renovation, and property management initiatives across...Full timeFor contractors$30k
...customer service, resolve concerns, minimize risk, defend against fraud, refer product solutions, and elevate complex issues for timely... ...them on self‑service options. Assist with custodianship, audits, and other operational tasks. Maintain a clean and organized work...FraudHourly payFull timeContract workPart timeWork experience placementWork at officeAfternoon shift- ...Electronic Banking Specialist Millbury Federal Credit Union is seeking an experienced Electronic Banking Specialist to be part of our... ...functions. Maintains and orders ATM and Debit cards, monitors fraud, and processes chargebacks. Prints daily notices. Reviews...FraudBank staffWork at office
$30k
...customer service, resolve concerns, minimize risk, defend against fraud, refer product solutions, and escalates complex issues for... ...educate them on self-service options. Assist with custodianship, audits, and other operational tasks. Maintain a clean and organized work...FraudHourly payFull timeContract workPart timeWork experience placementWork at officeShift workAfternoon shift- ...Description A Day in the Life: As the Asset Protection Specialist, no one day is ever the same! You are focused on preventing... ...controlling shrink by monitoring various areas of the store for fraud, compliance discrepancies, and other related activities. You work...FraudMinimum wageLocal areaFlexible hours
- Position Summary The Director of Finance & Tax Compliance provides oversight and guidance on nonprofit financial practices, reporting, and tax compliance. This volunteer will serve as a trusted advisor helping VSS maintain strong financial integrity and meet IRS and...
- ...concerns related to the evaluation in effort to support consumer’s independence. Attend monthly staff meetings. Report suspicion of fraud to the PCM Management Team. Report all suspected abuse or neglect to the appropriate agency such as DPPC, Executive Office of Elder...FraudFull timeTemporary workWork experience placementWork at officeHome officeRelocation packageMonday to FridayFlexible hours
$80k - $85k
...protected by applicable law. IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements,...FraudFull timePart timeImmediate startRemote workWorldwideFlexible hoursWeekend workAfternoon shift$42 - $58 per hour
...submit during the application process. You will not be penalized for redacting or removing this information. Beware of Recruitment Fraud DaVita will never ask for payment or personal financial information at any point in the hiring process, nor will we ever...FraudMinimum wagePart timeCasual workLocal areaMonday to Friday3 days per week
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