SIU Clinical Coder & Fraud Investigator
MetroPlusHealth
MetroPlusHealth in New York seeks a Clinical Certified Coder to support fraud detection and investigations in the Special Investigations Unit. The successful candidate will review medical records and claims, conduct audits, and collaborate with the team on suspected fraudulent activities. A minimum of 5 years of relevant experience and AAPC coding certification are required. This role emphasizes strong analytical skills, communication, and integrity in handling sensitive healthcare information. #J-18808-Ljbffr MetroPlusHealth
- A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates...Suggested
- ...An insurance claims investigation firm is seeking a Special Unit Investigations (SIU) Field Investigator to conduct field investigations and analyze evidence related to claims. Key responsibilities include on-site accident investigations, conducting interviews, and writing...Suggested
- J T Becker & Co Inc is seeking skilled Field Investigators in Idaho to provide expert investigative services on an as-needed basis. This role... ...’s license, investigative tools, and experience in surveillance and SIU claim investigations. #J-18808-Ljbffr J T Becker & Co IncSuggestedFlexible hours
- J T Becker & Co Inc is looking for skilled Field Investigators to join our team on an 'as needed' basis, perfect for those wishing to work flexible... ...will conduct varied investigations, including surveillance and SIU assignments, within New Jersey. Key responsibilities include...SuggestedFlexible hours
- J T Becker & Co Inc is hiring Field Investigators in Delaware to provide flexible investigative services on an as-needed basis. Ideal candidates... ...will conduct varied investigations including surveillance and SIU assignments, ensuring high-quality results. Applicants must...SuggestedFlexible hours
- J T Becker & Co Inc is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. The role offers flexible... ...expert investigative services, including surveillance and SIU assignments. Successful candidates will conduct a variety of investigations...Flexible hours
- J T Becker & Co Inc is looking for skilled Field Investigators to join our team on an as-needed basis. This role offers flexibility, ideal for... ...investigations. Ideal candidates will conduct surveillance and SIU assignments, completing video recordings and maintaining...Flexible hours
- ...Becker & Co Inc is seeking skilled Field Investigators to join our team in New York. This role is... ..., including workers' compensation and fraud. The ideal candidate will conduct various... ...investigations such as surveillance assignments and SIU investigations. Key responsibilities...Flexible hours
- AAMGA AssuranceAmerica Managing General Agency, LLC is seeking a dedicated SIU Field Investigator to conduct thorough investigations into suspicious claims across the states where we operate. This role involves analyzing complex claims with minimal supervision and requires...
- J T Becker & Co Inc is looking for skilled Field Investigators to join our team in Oklahoma on an 'as needed' basis. This position offers flexible... ...a variety of investigations including surveillance and SIU assignments. The ideal candidate must possess a valid driver's...Flexible hours
- ...Becker & Co Inc is seeking skilled Field Investigators located in Kentucky to serve on an as-needed... ...including workers' compensation and fraud. The ideal candidates should possess strong... ...be able to conduct surveillance, complete SIU investigations, and communicate...Flexible hours
- ...is seeking skilled and experienced Field Investigators for a fully remote, as needed position. This... ...various insurance claims including fraud and liability, offering flexible hours for... ...surveillance and Special Investigations Unit (SIU) assignments, ensuring adherence to...Remote jobFlexible hours
- ...specialists and participating clinics. For more than 30 years,... ...candidate for a Clinical Coder role within our Special Investigations Unit. The Clinical... ...investigation of suspected fraud, waste, and abuse. The position... ...Collaborate with other SIU team members to evaluate...Work at office
$32 - $40 per hour
Allied Universal is seeking a Special Investigations Unit (SIU) Investigator to handle investigations in accordance with New York Labor Law. This role focuses on identifying fraudulent claims within the insurance sector. The ideal candidate will possess a Bachelor’s degree...Hourly pay$43.89k - $76.5k
Position Summary The Special Investigations Unit (SIU) Investigator is responsible for thoroughly investigating... ...allegations of Medicaid healthcare fraud, waste, or abuse in accordance with... ...Partner with Senior Investigators and Clinical teams to support FWA case activities,...Temporary workLocal area- Allied Universal is seeking a Special Investigations Unit (SIU) Investigator for insurance claims in New York. The ideal candidate will investigate fraudulent claims, leveraging their knowledge of New York Labor Laws. A valid driver's license and experience in investigations...Flexible hours
$20 - $27 per hour
Join to apply for the SIU Investigator Bronx, NY role at ISG 2 days ago Be among the first 25 applicants This range is provided by ISG. Your... ...services firm specializing in cost containment and anti-fraud related services. We are dedicated to maintaining the highest...Full time- ...responsible for the identification, investigation, and prosecution of... ...Claims Manager and Regional SIU Manager to perform a variety... ...detection and prosecution of fraud. Preferred Qualifications Analytical... ...Watchers Onsite medical clinic for you and your family Opportunities...Full timeLocal area
- Job Description We are seeking a meticulous and experienced SIU Investigator to join our team. The ideal candidate will be responsible for conducting comprehensive investigations into potential fraud and misconduct. This role involves a variety of investigative tasks aimed...
$32 - $40 per hour
...Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance... ...opportunities for claim investigators, SIU investigators, and surveillance investigators... ...knowledge of insurance policies and fraud components to determine if claims warrant...$30 - $35 per hour
...have opportunities for experienced, self-determined, and highly motivated SIU INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat insurance fraud. We have several work from home, part‑time and full‑time hourly positions available...Bi-weekly payHourly payFull timePart timeWork at officeWork from home- 4004 Aetna Medicaid Administrators is seeking a SIU Investigator based in Oklahoma to investigate allegations of Medicaid healthcare fraud. The role involves managing a caseload, conducting interviews, and using data analytics to identify suspicious activities. Applicants...
$25 - $30 per hour
Ethos in New York seeks a Special Unit Investigations (SIU) Field Investigator to conduct thorough field investigations, gather and analyze evidence related to insurance claims. Responsibilities include on-site accident investigations, interviewing witnesses, and drafting...Hourly pay$83k - $132.8k
Job Summary The Special Investigations Unit (SIU) Investigator Lead is the face of the SIU with external... ...potential FWA and support ongoing fraud investigations. Utilizes a variety of... ...Examiner (CFE), or Certified Professional Coder (CPC) or 6 years of coding experience...Work experience placementLive inWork at office- CareSource is looking for an SIU Investigator Lead in Kentucky to act as a primary representative for regulatory bodies. Your role includes ensuring compliance, leading fraud investigations, and using data analytics to detect fraudulent activities. The ideal candidate will...
$70k - $105k
...from day one. About the Role Family banking has a distinct fraud profile. Minor cardholders face unauthorized transactions they... ...lifecycle transaction monitoring, and suspicious activity investigation, reporting directly to the Head of Compliance. This is a hands...H1bRemote workVisa sponsorshipWork visaFlexible hours- ...must be comfortable navigating multiple online financial portals. This role involves conducting thorough investigations and collaborating with the Payments & Fraud team to manage disputes in a fast-paced environment. Competitive pay, potential hybrid scheduling and a start...Night shift
- ...Framework Ventures is looking for a Fraud Analyst for their Fraud Investigations team. In this remote role, you will manage complex fraud investigations, act as the incident commander during live fraud attacks, and enhance fraud detection systems. Ideal candidates will...Remote work
- ...Fraud Analyst, Fraud Investigations United States - Remote Operations – Fraud / Full Time / Remote About MoonPay Hi, we’re MoonPay. We’re here to onboard the world to the decentralized economy by making digital money move as universally and effortlessly as the internet...Permanent employmentFull timeImmediate startRemote workWorldwideHome office
- Affirm is seeking a full-stack analyst in New York to join their Fraud Strategy and Analytics team. In this role, you will analyze, refine, and execute fraud strategies, working closely with Product, Engineering, and Operations. The ideal candidate has 2-4 years of customer...Remote work
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