SIU Medical Coding Investigator & Audit Analyst
Preferra Insurance
CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit. The role ensures coding accuracy, proper documentation, and compliance with state and federal requirements. The candidate should have 3+ years of medical coding experience, CPC certification, and strong communication skills to present findings to diverse stakeholders. Travel may be required. #J-18808-Ljbffr Preferra Insurance
Vacancy posted 18 hours ago
Similar jobs that could be interesting for youBased on the SIU Medical Coding Investigator & Audit Analyst in Brooklyn, NY vacancy
$43.89k - $93.57k
...Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record... ...medical record review and documentation auditing. Knowledge of professional medical...SuggestedHourly payFull timeTemporary workLocal area$3,550.4 per month
...Employment Standards Investigator I Advertisement Closes: 10/10/2026 (11:59 PM ET) Pay Grade: 12 Salary: $3,550.40 Monthly Employment Type... ...from the workstation, as it is crucial for conducting on-site audits and investigations. This travel component is integral to the...SuggestedFull timeWork at officeRemote workNight shiftCommonwealth of Kentucky
Brooklyn, NY2 days ago- GiveDirectly is seeking a Data Analyst for Internal Audit to turn raw data into actionable insights about fraud risks across programs. You will work with Product and Central Data to build tools that detect fraud earlier and more reliably. The role emphasizes translating...SuggestedRemote job
- Virtua Health is seeking a Revenue Integrity Analyst to perform analytics and audits across the Revenue Cycle, focusing on Epic-based workflows and charge capture. You will help optimize reimbursement by evaluating data trends and collaborating with hospital, physician,...Suggested
- Seminole Hard Rock Hotel & Casino Hollywood is seeking an entry-level Revenue Verification Associate to audit financial figures, verify postings, and prepare operating reports under the supervision of the Revenue Verification Manager. Ideal candidates will be detail-oriented...SuggestedFlexible hoursNight shiftWeekend work
$58.53k - $87.8k
## Remote Medicare HCC Coding Analyst | CRC CertificationApply: Fully Remote: Anywhere in the U... ...monitor and implement HCC coding strategies. Audit all RAPS submissions to ensure accuracy... ...Risk Adjustment activities for assigned medical groups and ensure that all tasks are...Remote jobFull timeLocal area- ...is seeking a Trust & Safety professional to review in-game and community reports, enforce policy guidelines, and document cases for audit. You will collaborate across platforms to maintain a safe player experience. You will triage reports from in-game and Discord channels...
- Constellation Energy Corp. in Chicago seeks a SALT Senior Analyst to apply state and local tax knowledge, assist with audits, and advise on planning opportunities. You will research tax issues, document analyses, and support corporate tax compliance across income, franchise...Local area
- Mountain Air Cargo is seeking a Maintenance Records Analyst to support the processing and auditing of aircraft maintenance data under MAC procedures. The role emphasizes accuracy, timely updates, and adherence to safety standards in a predominantly office setting. The...Work at office
- ...supervision, the Corporate Sustainability Analyst will frequently communicate with Alamo... ...programs, conducting, and assisting with data audits, and other support needed for... ...and financial security. Benefits include: Medical, Dental, and Vision Coverage on the 1st day...Work at officeWorldwideShift workNight shift
$56k - $66k
## Coding & Reimbursement AnalystApply: Glen Allen, VA: Virginia: Full time: Posted Today... ...classes and seminars;* Performing occasional audits, both routinely and when necessary to... ...credential required;* Certified Professional Medical Auditor (CPMA) credential a plus;* Firm...Full timeWork at officeImmediate startFlexible hours- Cardinal Health is seeking an Internal Audit - Finance professional to support financial and operational audits, ensuring compliance and strong control environments. This role involves testing, documenting findings, and collaborating with business teams to drive remediation...Remote job
$24 - $43 per hour
...Growing together. The C&S Coding Clinical Analyst is required to determine the... ...by comparing it to the medical record(s) submitted for the... ...provider. They are responsible to investigate, review and provide... ...Responsibilities Performs quality audits of clinical review cases of...Hourly payMinimum wageFull timeContract workWork experience placementLocal areaRemote work$20 per hour
...often (in days) to receive an alert: 68900289 - OPS MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Sep 30, 2026 The State Personnel System is an... ...Program Integrity (MPI) does this specifically through audits and investigations of healthcare providers, including managed care...Permanent employmentFull timeContract workTemporary workWork at officeLocal areaMonday to Friday$120.2k - $140k
...Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST — across the full engagement... ..., Part 11, data integrity (ALCOA+), and audit-readiness across all systems; support... .... Lead teams comprising consultants and analysts and drive delivery within the quality...Permanent employmentLocal areaRemote workVisa sponsorshipDeloitte
Jersey City, NJ4 days ago$3,672.84 per month
...Location Varies, USA This position requires routine travel to and from the workstation, as it is crucial for conducting on‑site audits and investigations. This travel component is integral to the role's responsibilities. This position offers a remote workstation determined by...Permanent employmentFull timeWork at officeRemote workNight shift- Gallagher Re is seeking a Catastrophe Risk Analyst in the United States to transform data into practical risk insights. You will audit and model insurance datasets, interpret results, and present clear reports to stakeholders. You’ll also respond rapidly to real-time catastrophe...Remote jobFlexible hours
- ...and BAA inventories, and packages quarterly evidence for client audit and insurance review.Full-TimeTucson, AZ or RemoteMid-SeniorApply... ...travel: Not required.## About this roleThe AI Governance & Risk Analyst operates the Managed AI program for our clients on a recurring...
- ...27537, USA Variety Wholesalers is currently seeking a Sales Audit Analyst for its Henderson, North Carolina or Columbus, Ohio location.... ...sales, cash, credit card, gift card, and other tender activity. Investigate and resolve discrepancies between point-of-sale (POS) systems...
$45 - $48 per hour
...Solutions is immediately hiring for a Business Analyst Position type: Full time - Contract to... ...have: 3 years or more of experience in medical claims processing and adjusting or... ...application Knowledge of medical billing codes (ICD-10, CPT, HCPCS), claims processing software...Hourly payFull timeContract workTemporary workWork experience placementImmediate startWorldwideFlexible hours$85k - $100k
...opportunity. The CVA Quality Analyst oversees work performed by the... ...random and targeted clinical audits. The analyst applies expert clinical... ...quality auditing of inpatient medical records to confirm the... ...of the provider's billed DRG code. Salary Range : $85k - $100k Location...Work at officeRemote work- Unió Digital is seeking an AI Governance & Risk Analyst to operate the Managed AI program from Tucson, AZ or remotely. You will own AI... ...monitoring, DPA management, and quarterly evidence packaging for client audits and insurance reviews. This mid-senior role emphasizes policy...Remote job
- SailPoint Technologies Holdings, Inc. is seeking a Compensation Analyst to support global base pay, incentive, and equity program governance. You will perform market benchmarking, data audits, and analysis to ensure competitive, equitable pay practices. The role partners...
- ...Responsibilities:**# **Essential Job Functions**1. Analyze denials compared to the applicable contract agreements, payer medical policy language, NMHS coding and authorization processes.* Analyze payments to ensure accuracy and initiate corrective action with third party...Full timeContract workWork at officeWork from home
$20 per hour
Agency for Health Care Administration seeks an OPS Medical/Health Care Program Analyst to conduct investigations and generate referrals within Medicaid program... ...emphasizes data-driven analysis, pre-payment reviews, audits, and collaboration across MPI teams. The incumbent...Hourly payFull time- ...contributing to high-quality public disclosures.Job summaryAs an Analyst in the SEC Reporting team, you will help prepare and file key... ...Minimum of 1 year of experience in accounting, financial reporting, audit, or a related roleBachelor’s degree in Accounting or Finance, or...Work at office
JP Morgan Chase
Brooklyn, NY3 days ago - TELUS Digital seeks an Online Data Analyst to conduct structured quality audits on spatial and mapping datasets, verifying and validating geographic information with advanced tools and reference materials. You will cross-reference data against authoritative sources, perform...Remote job
- ...Vulnerability Assessments•Enterprise Security Monitoring, Role-Based Access Control (RBAC)•Identity and Access Management, Computer Forensic•IT Audit and Compliance, Regulatory Requirements (HIPAA, CMS, FISMA, et. al.)•Knowledge of common vulnerability tools, and the ability to...
Roljobs Technology Services
Jersey City, NJ6 days ago $20 per hour
...for Health Care Administration in Florida seeks an OPS Medical Health Care Program Analyst to support fraud and abuse prevention within the Medicaid Program Integrity unit. The role involves investigations, audits, and on-site visits to ensure policy compliance and identify...Hourly payFull time- Westernbanks in West Fargo, ND seeks a Credit Risk Analyst to evaluate loan files, monitor credit quality, and strengthen risk management... ...to ensure accurate documentation, sound credit decisions, and audit readiness while maintaining confidentiality and professional #J...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to SIU Medical Coding Investigator & Audit Analyst. Be the first to apply!
Related searches
- security investigator Brooklyn, NY
- employee relations investigator Brooklyn, NY
- credit investigator Brooklyn, NY
- compliance investigator Brooklyn, NY
- insurance investigator Brooklyn, NY
- research investigator Brooklyn, NY
- defense investigator Brooklyn, NY
- human rights investigator Brooklyn, NY
- housing investigator Brooklyn, NY
- aml investigator Brooklyn, NY