CPC Healthcare Fraud Investigator
$70.5k - $94.4k100 Horizon Healthcare Services, Inc
100 Horizon Healthcare Services, Inc is seeking a Certified Professional Coder (CPC) to perform reviews and audits of medical records. The role involves coding oversight ensuring compliance with CPT, HCPCS, and ICD-10 standards. The ideal candidate will possess a high school diploma, CPC designation, and 2-3 years of relevant coding experience. The position offers competitive compensation ranging from $70,500 to $94,395 along with comprehensive health insurance, retirement plans, and generous paid time off. #J-18808-Ljbffr
$70.5k - $94.4k
...The Certified Professional Coder (CPC) is responsible for performing reviews,... ...requisite documentation to conduct low level investigations. The incumbent will also support the investigators... ..., receive and review suspected fraud and to complete cases with all information...SuggestedLive inLocal area- ...A leading transportation agency in New Jersey is seeking an experienced claims investigator to join their team. The role involves interviewing claimants and witnesses, obtaining necessary documentation, negotiating settlements, and attending trials. Ideal candidates will...Suggested
- ...A national investigative services firm is seeking a meticulous SIU Investigator in Newark, New Jersey. This role involves conducting comprehensive investigations into potential fraud and misconduct. The ideal candidate should possess strong analytical skills, attention...Suggested
$50k - $60k
...provider of legal operational support, specializing in mass tort, single-event, and abuse litigation dockets, is seeking a Claims Investigator to join their team. The role involves managing the litigation lifecycle from intake to settlement processing. Job...SuggestedWork at office$23 - $30 per hour
...Command Investigations LLC is seeking an Insurance Claims Investigator with a minimum of one year of experience to become part of a dynamic team. This is a great opportunity for individuals with prior claims investigation experience who demonstrate integrity, independence...SuggestedHourly payFull timeSecond jobWork at officeRemote workFlexible hoursNight shift- ...experience in a Personal Injury, MedMal, or Insurance Defense legal practice. Responsibilities include conducting interviews, handling investigations, reviewing medical records, and ensuring proper communication with claimants. The ideal candidate is a quick learner,...Full time
- Openings Available ~ Two (2) Full-Time Positions ~40 Hours Per Week Each Schedule Monday - Sunday Operating Hours: 7:30 am - 10:00 pm Shift times vary based on operational needs Responsibilities Monitor store activity and help prevent...Full timeShift work
$15.92 - $20.4 per hour
...integrity; maintains confidentiality Observes, apprehends, and/or deters any acts of dishonesty from outside sources Participates in investigations and surveillance as assigned Ensures apprehensions are consistent with store theft activity Completes and distributes...Hourly payFull timeTemporary workLocal areaHome officeFlexible hours$25k - $250k
Overview New Jersey’s academic health center, Rutgers Biomedical and Health Sciences (RBHS) takes an integrated approach to educating students, providing clinical care, and conducting research, all with the goal of improving human health. Aligned with Rutgers University...- Signature is looking to add Field Consultants to cover the following counties: Essex, Union, Middlesex For over 30 years, Signature Companies has been an industry leader and innovator in delivering high-quality, professional and unparalleled service to our carrier partners...Extra incomeFor contractorsLocal area
- Job Description Job Description Silver Lake Hospital of Newark, NJ is seeking to hire a full time Security Officer to maintain overall security of the facility. The Security Officer will work various shifts including weekends. Correctional Officers and retired...Full timeTemporary workShift work
- Orthopedic Surgery - Independent Medical Examiner (IME) - New Jersey Orthopedic Surgery - Independent Medical Examiner (IME) - New Jersey 1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Dane Street is expanding our...Daily paidExtra incomeContract workWork at officeRemote work
- CONTEXT OF THE JOB The Delaware Center for Cognitive Aging Research (DECCAR) is seeking a psychometrist to administer cognitive tests and health questionnaires to adults who range from having normal cognitive abilities to dementia. The testing is a component of several ...Contract workWork at officeRemote work2 days per week3 days per week
- ..., those who join the Secret Service are courageous, intelligent, strong and determined. A diverse team capable of balancing our investigative mission and fulfilling our protective legacy. Proven to be worthy of trust and confidence. Be tomorrow's Secret Service.DutiesDuring...Relocation
$86.53k
...Members of Congress Containment and Emergency Response Team (CERT/SWAT) K-9 Unit Bicycle Response Team Special Operations Criminal Investigations Intelligence and Interagency Coordination Threat Assessment Section Command Center Communications QUALIFICATIONS Must be a...Immediate startFlexible hours- Schedule Full-Time | 40 Hours Per Week Days and shift times vary based on operational needs Must be flexible to travel between locati Responsibilities Conduct patrols at multiple assigned locations Monitor for theft, suspicious activity, and policy violations Maintain ...Full timeFlexible hoursDay shift
$16 - $20 per hour
...Monitor for irregular or unusual activity. Secure facility and designated areas. Enforce facility and company policies and procedures. Investigate and prepare reports on incidents. Qualifications High school diploma or GED equivalent. Must have one year experience. Must have...Hourly payLocal areaFlexible hours$17.75 - $27.85 per hour
...Prevention Officer, you will improve company profitability by executing company programs around external theft deterrence and internal investigations to drive shortage reduction. You will influence associates to increase awareness of external theft and internal investigations....Full timeTemporary workPart timeLocal areaFlexible hoursShift workDay shift$17.75 - $27.85 per hour
...Prevention Officer, you will improve company profitability by executing company programs around external theft deterrence and internal investigations to drive shortage reduction. You will influence associates to increase awareness of external theft and internal investigations....Full timeTemporary workPart timeLocal areaFlexible hoursDay shift$17.1 per hour
...safety audits, safety, and fire prevention and inspections Answering alarm responses Performing insurance inspections and investigations Job Requirements Successful candidates for the Detective role should have effective communication skills and the...Hourly payWeekly payFull timeTemporary workAfternoon shift- Position Title: Visiting Researcher Department: Department of Anesthesiology, New Jersey Medical School (NJMS) Location: Newark (RBHS) Type: Full Time, Staff - 12 month Work Arrangement: Fully on-site work arrangement. Position Overview Candidate studies molecular and ...Full timeSeasonal workFlexible hours
- ...Investigator A (Claims) Finance Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the third-largest transportation agency in North America. We are committed to delivering safe, reliable service that gets customers to their destinations...Contract workWork at office
$30.3 per hour
...clients in a range of industries such as commercial real estate, healthcare, education, government and more. Responsibilities:... ...condition of employment, applicants will be subject to a background investigation in accordance with all federal, state, and local laws. Allied...Part timeWork at officeLocal areaImmediate startFlexible hoursShift workNight shiftDay shiftAfternoon shift$30 - $35 per hour
...opportunities for experienced, self‑determined, and highly motivated Part‑Time SIU INVESTIGATORS who 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...Bi-weekly payHourly payFull timePart timeWork at officeWork from home- ...About Delta Group Delta Group is a privately held, national investigative firm established in 1983 and headquartered in Buford, Georgia.... ...over 100 years of combined experience leading national carrier fraud divisions, state fraud prosecutorial offices, claims and program...Local area
- ...About Us Insight Service Group (ISG) is a national investigative services firm specializing in cost containment and anti‑fraud related services. We are dedicated to maintaining the highest standards of integrity and transparency within our operations. Our Special Investigations...
$33.04 - $46.67 per hour
...Full‑time schedule, evening shift. Essential Functions Conduct patrols and monitor facilities to maintain a secure environment for healthcare operations. Transport executives and approved passengers to corporate facilities, affiliate facilities, and special events....Hourly payFull timeWork at officeLocal areaFlexible hoursShift workAfternoon shift- Summary THIS IS NOT AN OPEN JOB ANNOUNCEMENT** This is a public notice for Drug Enforcement Administration Criminal Investigator GL-1811-7/9/11 positions open to U.S. Citizens. A job announcement will be posted on USAJobs on April 20th, July 20th, and October 19th, 2...Permanent employmentLocal areaRelocationTrial periodWeekend work
- A national investigative services firm is seeking experienced Surveillance Investigators in Elizabeth, NJ. Ideal candidates should be self... ...communication. The role includes conducting investigations into suspected fraud, performing on-site surveillance, and documenting findings....Flexible hoursAfternoon shiftEarly shift
$20 - $26 per hour
Job Type Full-time Job Title Surveillance Investigator Job Location Newark, New Jersey Company Overview Frasco has been in business for 60 years as a family-owned full-service investigation company with hundreds of investigators and regional offices nationwide. Our...Hourly payWeekly payFull timeFlexible hoursNight shift
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