Medical Coding Investigator — SIU (Behavioral Health)
CVS Health
CVS Health Corporation is seeking a Certified Professional Coder (CPC) for the SIU to perform medical claim reviews and ensure coding accuracy across CPT/HCPCS and Revenue Codes. The role requires handling complex reviews, detailed reporting, and collaboration with medical directors and regulators. Qualified candidates will have AAPC CPC certification, 3+ years of coding experience including record reviews, and proficiency with CMS documentation elements. #J-18808-Ljbffr CVS Health
$46.99k - $112.2k
...Dental Fraud Investigator We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience... ...in data analysis and research ~ Knowledge of Medical Terminology Preferred Qualifications Credentials...SuggestedHourly payFull timeTemporary workLocal area- ...opportunities for experienced, self-determined, and highly motivated SIU FIELD INVESTIGATORS that would like to join our team of professionals in our... ...for non-reimbursed business expenses. VRC also offers medical, dental, vision, disability benefits, as well as paid...SuggestedBi-weekly payHourly payFull timePart timeWork at officeWork from home
- ...customers to manage risk. Join us as an SIU Claims Investigator to play your part in that... ...involving claimants, brokers, lawyers, medical providers, etc., to support the Claims... ...work to offer benefits focused on your health, wellbeing and financial security—as well...SuggestedWork experience placementLocal area
$24 - $32 per hour
...this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. SIU, Investigator Investigations Part Time Professional Atlanta, GA, US 3 days ago Requisition ID: 1314 Salary Range: $24.00 To $32.00 Hourly...SuggestedHourly payFull timePart timeCurrently hiring- VRC Investigations seeks experienced SIU investigators to support multi-line insurance fraud investigations. Work from home options are available with a hybrid model and travel within the advertised city and state is required. You will interview insureds and witnesses,...SuggestedRemote jobWork from home
- Marshall Investigative Group is hiring a Special Investigations Unit Investigator (Part-time) in Atlanta. The role covers complex investigations... ...hold or can obtain a Private Investigator license, have SIU or insurance-investigation experience, and possess strong observation...Part timeWeekend work
- American International Group, Inc. (AIG) is seeking a SIU Claims Investigator in Atlanta, GA to lead high-complexity fraud investigations across all lines of business, coordinate field resources, and present evidence in court when required. The role emphasizes independent...Local area
- AIG is seeking an SIU Claims Investigator to handle high complexity fraud investigations and support claims adjusters across all lines of business. You will gather evidence, coordinate fieldwork and document findings to minimize fraud risk for the company. The role requires...Local area
- ...Nurse Investigator- Atlanta Join Team Georgia and impact lives everyday while receiving... ...your career! Agency: Department of Behavioral Health and Developmental Disabilities Job... ...techniques. Request and review appropriate medical records and other data/records from a...
- Command Investigations, LLC is seeking an Insurance Claims Investigator with at least one year of field experience to join our team. You will conduct claims investigations across workers’ compensation, general liability, auto, and property cases, gathering evidence and...
- ...not see a current opening that perfectly aligns with their location or specialty—but who would like to be considered for future Investigator, Sub-Investigator, or Physician leadership opportunities across our growing network of clinical research sites nationwide.Our physicians...Full timePart timeLocal area
- ...description: The Corporate Security Investigator is part of a 24 x 7 Security... ...violence prevention and behavioral threat management program.... ...business leadership, mental health resources, and law... ...the position. Truist offers medical, dental, vision, life insurance...Full timePart timeWork at officeLocal areaShift workDay shift
- ...of our business, and our global Cyber Investigation and Forensic Response (CIFR) practice is... ...capabilities (unpacking, deobfuscation, behavior analysis)You have made contributions to... ...suite of benefits including medical, dental, vision, life, and long-term disability...Work experience placementLive inWork at officeLocal area
- ...Practitioner or Physician Assistant (Sub Investigator) - Part-time ~ Contract M3... ...global biopharmaceutical, biotechnology, medical device, pharmaceutical and clinical research... ...study protocols, while safeguarding the health, safety, and well-being of research...Contract workPart timeLocal area
- The Nurse Investigator- Atlanta position with the State of Georgia is located at 200 Piedmont Ave, SE, Atlanta, GA 30334. The role involves conducting clinical mortality investigations for individuals receiving developmental disability services, interviewing witnesses...Remote job
$66k - $87.5k
Job Summary Reporting to the Director of Investigations, the Student Protections Investigator... ...sexual assault, or problematic sexualized behavior. Experience working with youth and... ...$87,500.00 per year. Benefits: Dental, Health, Life, Paid time off, Retirement, Vision...Full timeInterim roleLocal areaRemote workRelocationMonday to FridayShift work- ...Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance... ...opportunities for claim investigators, SIU investigators, and surveillance... ...or investigations experience BENEFITS Medical, dental, vision, basic life, AD&D, retirement...Work experience placementWork at officeLocal area
- ...Description Command Investigations LLC is seeking an Insurance Claims Investigator with a minimum of one year of experience to become part... ...team. This is a great opportunity for individuals with prior SIU experience who demonstrate integrity, independence, and a drive...Part timeWork at officeRemote workFlexible hoursNight shift
- Job Overview Claims Investigator - Experienced job at Command Investigations. Atlanta, GA. $... ...include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required... ...Microsoft Outlook (email) Benefits Medical, dental and vision insurance 401K...Relocation package
- ...as directed.Supports Chief Compliance Officer in conducting investigations of local Priority Ambulance family of companies as directed.Provides... ....Must be a currently or previously certified as an Emergency Medical Technician.Experience as an inspector or auditor in a related...Local areaShift workNight shift
$25.35 - $38 per hour
...Background Investigator - TS Xcelerate Solutions is seeking a Full Time Background Investigator, you will support a large national background... ...per hour ~ Comprehensive benefits package, including: ~ Medical | Dental | Vision ~ Vacation and Sick Time ~11 Paid...Hourly payFull timeRemote work$145.46k - $193.94k
...of adversary capabilities, infrastructure, malware, and network behavior to define, develop, and implement techniques for tracking... ...Lumen offers a comprehensive package featuring a broad range of Health, Life, Voluntary Lifestyle benefits and other perks that enhance...Full timeTemporary workRemote work- ...Affirmative Civil Enforcement (ACE) Investigator Employment Type: Full-Time, Experienced CGS is seeking an experienced ACE Investigator... ...of large-scale hard-copy and electronic data, such as health care claims data, financial transaction data, accounting records...Full timeWork at officeLocal areaRemote workFlexible hours
- ...Job Description Pape-Dawson is looking for a Principal Investigator to be based out of our San Antonio, Texas location. Overview Pape-Dawson is looking for a Principal Investigator to be based out of our San Antonio, Texas location. The Principal Investigator...Local areaMonday to FridayWeekend work
- ...spoken and written French and English. Based Remotely in the US. We are looking for a dedicated and experienced Asset Protection Investigator to join our dynamic auto parts team. The Asset Protection Investigator is responsible for identifying, investigating, and...Work experience placementRemote workFlexible hoursWeekend workAfternoon shift
- ...Heartflow is a medical technology company advancing the diagnosis... ...CT Analysis—provides a color-coded, 3D model of a patient’s coronary... ...Trial Manager (CTM) - Investigator Initiated Studies is responsible... ...’s degree in science or health related field Demonstrated...Contract workWork experience placementWork at officeLocal areaWorldwideRelocationShift work
- ...Criminal Investigator 3Explore a World of Opportunity with the State of Georgia! Georgia State Government is a large enterprise, composed of various agencies and entities with a common goal to improve the lives of Georgia's more than 10 million citizens! Join Team Georgia...Local area
$83.8k - $108.95k
...furnishes authoritative oral and written reports to facilitate investigative, intelligence, prosecution and other functions that support... ...development, and career opportunities. Benefits include group health insurance, retirement plan, disability and life insurance, travel...Full timeRelocation packageFlexible hours- ...eligible for current or future VISA sponsorship. Clinical Fraud Investigator II is responsible for identifying issues and/or entities that... .... Review and conducts retrospective analysis of claims and medical records prior to payment. Researches new healthcare related questions...Work at office2 days per week1 day per week
- ...up to 8% for team membersComprehensive healthcare: Medical, dental, vision, virtual care, and mental health supportFinancial perks: Special team member... ...reach your full potentialResponsibilitiesThe Fraud Investigator II role is focused on independently managing a broad...Full timeWork experience placementWork at officeLocal areaRemote workWork from home
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