Remote SIU Investigator & Coding Specialist
Healthcare Fraud Shield
- Remote job
Healthcare Fraud Shield is seeking a CPC-certified Medical Coding Specialist to join our SIU team. You will review medical records, abstract CPT/HCPCS/Revenue Codes, DRG and ICD-9/ICD-10, and determine appropriate billing and reimbursement while maintaining privacy standards. You will document findings in spreadsheets, summarize them in reports, and provide subject matter expertise for clients. Remote work eligible; 401(k), generous PTO, and professional development opportunities are offered. #J-18808-Ljbffr Healthcare Fraud Shield
- SIU Clinical Investigator Department: SIU Employment Type: Full Time Location: Headquarters Description... ...research, discuss to make appropriate coding determinations as needed). Analyze... ...and career development initiatives Remote work eligible REMOTE WORK REQUIREMENTS...Remote workFull timeFlexible hours
- ...Shield is seeking a Clinical Coder/Fraud Investigator to join our SIU team at headquarters. You will analyze... ...records, abstract CPT/HCPCS/ICD-10 codes, and prepare reports while maintaining... ...and the ability to work independently. Remote work eligibility is available. #J-188...Remote job
- ...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 workFull time
$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- ...on our promises. Position Summary:The SIU Investigator will conduct field as well as desk investigations... ...Investigator will function as a remote investigator working from her/his... ...company image to the public.Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (...Remote workFull timeWork experience placementWork at office
$78.9k
...please visit our website: Job DescriptionThis position can be remote anywhere in the United States, however Texas is preferred.We are seeking an experienced investigator to join our Special Investigations Unit (SIU). SIU is responsible for detecting, investigating and...Remote workWork at officeFlexible hours- ...Seeking a seasoned SIU Investigator with health plan experience, the full-time position focuses on building and managing cases from intake to referral, ensuring compliance with regulatory standards while collaborating with various departments. Key responsibilities Conduct...Remote workFull time
- ...Kemper Corporation is looking for an SIU Investigator for their Glendale, California location. This role supports insurance claims investigations through field and desk assignments, requiring strong communication skills and knowledge of claims processes. Ideal candidates...Remote work
$25 - $30 per hour
...Part-Time SIU/Claims Investigator For the past 28 years, Advantage Investigations has been the Nation's only insurance defense investigation... ..., Claims Investigations, Net-Sweep Investigations, Remote Controlled Surveillance, and more, we're able to save our clients...Remote workBi-weekly payHourly payPart timeWork at officeFlexible hours$23.13 - $39.45 per hour
...Location(s) Glendale, California, Remote-CA Details Kemper is one of the nation... ...on our promises. The Special Investigator 1 will complete field and desk assignments... ...of facts from evidence that support our SIU and claims organization. This entry level...Remote workWork at office$25 - $50 per hour
...support Professional autonomy in case strategy & scheduling Paid travel for field investigations when required Job Summary The SIU Investigator conducts field and remote investigations involving insurance claims. This role requires a strong understanding of...Remote workHourly payPart timeWork at officeHome officeFlexible hoursAfternoon shift- ...Special Investigation Unit Investigator Delta Group is a privately held, national investigative... ...with claims personnel, insurance carrier SIU staff, law enforcement, and government... ...compliance with all applicable laws, legal codes, and governing agencies. Provide Claim...Remote workLocal area
- Insight Service Group (ISG) seeks a meticulous SIU Investigator to join our team in Boston. The role involves conducting comprehensive investigations into potential fraud and misconduct, gathering evidence, and supporting ethical practices across cases. Key duties include...
- ...Job TitleProvides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA).Essential Job DutiesIndependently... ...Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical...Remote workContract workWork at officeLocal area
- The SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the Special Investigative Unit. This remote investigator will work from home and service the Miami-Dade County and surrounding areas...Remote jobWork from home
$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... ...Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical...Remote workHourly payContract workWork experience placementWork at officeLocal area- 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,...Remote jobWork from home
$60.2k - $107.4k
...have the flexibility to work remotely as you take on some tough challenges... ...Collaborate with clinical coding consultant to apply knowledge... ...validity of aberrances (SIU only) Gather all relevant... ...articulate behavior through an Investigation Summary and compliance package...Remote workMinimum wageFull timeWork experience placementLocal area- ...Special Investigations Unit (Siu) Desk Investigator At AssuranceAmerica, we are more than a unique blend of insurance assets. We believe in... ...industry regulations, confidentiality standards, and professional codes of conduct to maintain trust and credibility....Remote workContract workWork at officeRelocation package
- Centene Corporation is seeking a seasoned Health Care Fraud Investigator to support a remote SIU team across the continental US. You will guide investigations, develop plans, document findings, and collaborate with regulators and internal counsel to mitigate risks. The...Remote jobFlexible hours
- Kemper Corporation in Miami, Florida is seeking a SIU Investigator to conduct field and desk investigations of insurance claims within a remote role servicing the Miami-Dade County area. You will gather facts, coordinate with fraud units and law enforcement, prepare reports...Remote job
- Command Investigations seeks an experienced SIU Investigator to join our Operations team. This embedded role conducts claim/file evaluations to detect fraud, prepares SIU reports, and collects evidence suitable for court presentation. The ideal candidate understands commercial...Remote job
- National General is seeking an experienced SIU Investigator to join our team. This role handles highly complex, multi-discipline claims including attorney represented and large losses, with emphasis on potential fraud. The investigator conducts background searches, site...Remote job
- Kemper is seeking a remote SIU Investigator to conduct field and desk investigations of insurance claims from home in the Miami-Dade area, traveling as needed. Responsibilities include analysis, evidence development, and coordinating with NICB and law enforcement, with...Remote job
- Kemper, a leading specialized insurer, seeks a SIU Investigator to conduct field and desk investigations from a remote residence, servicing Dallas, TX and surrounding areas. The role includes Examinations Under Oath and collaboration with NICB and law enforcement. You will...Remote job
- Location Glendale, California, Remote-CA Job Summary The Special Investigator 1 will complete field and desk assignments that support insurance claims referred... ...development of facts from evidence that support our SIU and claims organization. This entry level role is a...Remote workWork at office
$70.1k - $126.2k
...workplace flexibility. This is a remote role anywhere within the... ...guidance to team members who investigate and remediate compliance and fraud... ...to team on casework and other SIU activities. Evaluates and... ...processing systems and medical claims coding preferred preferred. Licenses...Remote workFull timePart timeWork at officeFlexible hours- Oscar Health Insurance is seeking a Senior Analyst, SIU Clinical Investigator to detect and audit aberrant billing patterns in claims and clinical... ...files for potential recovery or referrals. This is a remote role with NYC/Tempe office options. #J-18808-Ljbffr Oscar...Remote jobWork at office
- Join to apply for the SIU Investigator role at Command Investigations . Overview Command Investigations, LLC is looking for a Claims Investigator... ...recognized investigations firm offering surveillance, remote investigations, desktop intelligence, and specialty services...Remote workFull timePart timeFlexible hours
- Consumers Credit Union is seeking a BSA Specialist to manage investigations within a confidential, compliant environment at our Lake Forest HQ. Hybrid schedule with onsite Tuesdays and Wednesdays, some remote days, and adaptability for audits. You will investigate SARs...Remote work
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