Remote Prepay Coding Investigator
Texas Health Institute
- Remote job
Optum, a leader in health care technology and services, seeks a Coding Consultant to investigate and resolve healthcare fraud and coding issues. The role uses CPT guidance to support investigations, mentor teammates, and collaborate with internal and external stakeholders across projects. You’ll work from anywhere in the U.S. with flexible telecommuting, aiming to meet targets and regulatory requirements while contributing to client success and care equity. #J-18808-Ljbffr Texas Health Institute
- UnitedHealth Group is seeking a Coding Consultant to investigate and resolve healthcare fraud, audit CPT coding, and provide guidance to investigators. The role supports internal and external projects, mentoring colleagues, and ensuring regulatory compliance. The position...Remote job
- Optum is seeking a Coding Consultant to investigate and resolve healthcare fraud and abuse, using CPT coding knowledge to document findings and guide investigations. The role offers telecommuting from anywhere in the United States and targets 8:00am-5:00pm hours with occasional...Remote job
- UnitedHealth Group is seeking a Coding Consultant to investigate and resolve healthcare fraud and provider abuse using CPT coding guidance. You will mentor investigators, review claims against medical records, and coordinate with internal and external stakeholders to ensure...Remote job
$56.2k - $101k
...workplace flexibility. Please note: this is a remote role with preference on candidates residing within Ohio. Position Purpose: Investigate allegations of potential healthcare fraud... ...and analyze health care claims and coding required. Pay Range: $56,200.00 - $101...Remote workFull timePart timeWork at officeFlexible hours- ...Location: Franklin, TN corporate office with remote work flexibility Travel: Up to 25% The Compliance Investigator is responsible for conducting and overseeing prompt... ...regulatory compliance Billing and coding concerns Fraud, waste, and abuse risks HIPAA...Remote workWork at office
- ...Job Title Provides support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Essential Job Duties • Independently re-evaluates medical claims and associated records by applying knowledge of advanced...Remote workContract workWork at officeLocal area
$19.64 - $42.55 per hour
...JOB DESCRIPTION Job Summary Provides investigative support for special investigation unit (SIU) activities. Responsible for supporting... ...appropriateness of care, and recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy...Remote workHourly payContract workWork experience placementWork at officeLocal area$19.64 - $42.55 per hour
...JOB DESCRIPTION Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and abuse investigations of medical providers using...Remote workHourly payContract workWork experience placementWork at officeLocal area$64k - $68k
...We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN... ...a favorably adjudicated DOD background investigation for this position. Veterans, Reservists... ...CPT4, ICD-10-CM, HCPCS, DRG and Revenue Code coding conventions. Knowledge of...Remote workContract workTemporary workFor subcontractorInterim roleLocal areaShift work$25.6 - $42.67 per hour
...Sentara Health Plan is currently hiring a Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote!Status: Full-time, permanent position (40 hours)Work... ...pharmacy, physician, ancillary and hospital-based coding in routine desk audits as well as occasional on-site...Remote workPermanent employmentFull timeTemporary workLive inCurrently hiringShift work$70.5k - $94.4k
...Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes... ...and interpreting requisite documentation to conduct low level investigations. The incumbent will also support the investigators related to...Remote workLive inLocal area$60.2k - $107.4k
..., you will have the flexibility to work remotely as you take on some tough challenges.... ...requirements are met Collaborate with clinical coding consultant to apply knowledge of coding... ...facts to articulate behavior through an Investigation Summary and compliance package....Remote workMinimum wageFull timeWork experience placementLocal area$62.7k
...Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged... ...provider facility payment methodology, claims processing systems and coding and billing proficiency Must have understanding of...Remote workContract workFor contractorsWork at officeLocal area- ...talented Coder or Clinical Coder/Fraud Investigator to join our team. RESPONSIBILITIES... ...in research, discuss to make appropriate coding determinations as needed) Analyze and... ...and career development initiatives ~ Remote work eligible REMOTE WORK REQUIREMENTS...Remote workFull timeFlexible hours
- ...is seeking a talented Coder or Clinical Coder/Fraud Investigator. This full-time role involves analyzing patient medical... ..., documenting findings, and ensuring compliance with coding guidelines. The position is remote work eligible, requiring a CPC certification and a...Remote jobFull time
- ...Investigator Position For more than 165 years, the Office of the Indiana Attorney General (OAG) has been committed to serving the best... ...experience. Working knowledge of health care operations, billing, coding and documentation guidelines is preferred but not required....Remote workFull timeWork at officeNight shift
- Healthcare Fraud Shield is seeking a CPC-certified Medical Coding Specialist to join our SIU team. You will review medical records, abstract... ...in reports, and provide subject matter expertise for clients. Remote work eligible; 401(k), generous PTO, and professional...Remote job
- ...Shield is seeking a Clinical Coder/Fraud Investigator to join our SIU team at headquarters.... ...medical records, abstract CPT/HCPCS/ICD-10 codes, and prepare reports while maintaining... ...and the ability to work independently. Remote work eligibility is available. #J-18808...Remote job
- ...Medical Coding SpecialistOptum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits,...Remote workMinimum wageFull timeWork experience placementLocal areaMonday to FridayWeekend work
$65k - $75k
...and elicit relevant information during investigations. Ability to think critically and adapt... ...Environment Hybrid, 3 days in office, 2 days remote What You Need To Know CIBC is... ...other skills test (such as simulation, coding, French proficiency). We use artificial...Remote workWork at office- ...ultimate goal of enabling human life on Mars.SR. HUMAN RESOURCES INVESTIGATOR (EMPLOYEE RELATIONS)We are looking for a skilled and... ...to various SpaceX sites.This role requires you to be onsite. Remote or hybrid work will NOT be considered.Must be willing to work...Remote workPermanent employmentWeekend work
- A leading financial services company is seeking an AML Sr. Investigator I to support critical anti-money laundering processes. Responsibilities include reviewing alerts, conducting investigations, and preparing reports on suspicious activities. Candidates should have a...Remote workWork from home
- A technology firm is seeking a Corporate Security Investigator to join their Counterintelligence & Threat Management Program. The role offers the opportunity to work remotely and involves managing complex investigations, producing detailed reports, and conducting extensive...Remote work
- ...the University of Michigan in Ann Arbor is seeking a Research Investigator. This is a one year term-limited position with possibility of... ...Modes of WorkPositions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work...Remote work
- .../hr *Dependent upon relevant experience, certification, and education.]]Location: [[Onsite in Springfield, MO (no capabilities for remote or hybrid work)]]Reports to: [[Clinical Research Manager]][[Benefits: Our benefits package for full-time employees includes health...Remote workFull timeLocal areaMonday to FridayFlexible hours
$107.7k - $199.3k
...managing the most complex, sensitive, and high-impact internal investigations across the organization. Serves as a strategic advisor and... ...time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted...Remote workFull timePart timeWork at officeFlexible hours$120k - $175k
...ultimate goal of enabling human life on Mars.SR. HUMAN RESOURCES INVESTIGATOR (EMPLOYEE RELATIONS)We are looking for a skilled and... ...to various SpaceX sites.This role requires you to be onsite. Remote or hybrid work will NOT be considered.Must be willing to work...Remote workPermanent employmentTemporary workWork at officeMonday to FridayWeekend work$23.75 - $41.25 per hour
...DescriptionThe Asset Protection Operations Center Investigator monitors Nordstrom alarm systems,... ...trends and potential risks. From the remote AP Operations Center this employee also... ...requirements per Los Angeles, Cal. Muni. Code 189.04 and the San Francisco Fair Chance...Remote workFull timeWork at officeShift workNight shift- ...stakeholders that delivers on our promises. Position Summary:The SIU Investigator will conduct field as well as desk investigations of insurance... ...Unit. Our Special Investigator will function as a remote investigator working from her/his residence and servicing the...Remote workFull timeWork experience placementWork at office
- ...apply to become an affiliate. How do I become a Principal Investigator? Scientists working in the field of astrobiology can request to... ...offices if you have a collaborator there who can help you secure space, or work from your home office or other remote location....Remote workWork experience placementWork from homeHome office
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