Remote Fraud & Prepay Coding Investigator (CPC/CCS)

Colorado Psychiatric

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 compliant, accurate coding. The role supports telecommuting from anywhere in the United States, with strong benefits, recognition programs, and opportunities for professional growth. #J-18808-Ljbffr Colorado Psychiatric

Apply

Vacancy posted 1 day ago

Similar jobs that could be interesting for youBased on the Remote Fraud & Prepay Coding Investigator (CPC/CCS) in Minneapolis, MN vacancy

Remote CPT Coding Investigator - Prepay Claims
UnitedHealth Group is seeking a Coding Consultant to investigate and resolve healthcare fraud, audit CPT coding, and provide guidance to investigators. The role supports... ...from anywhere in the U.S. and requires a CPC/CCS/RHIT/RHIA or equivalent certification with 3+ years...
Remote job
Fraud
UnitedHealth Group
Minneapolis, MN
4 days ago
Healthcare Investigator
$70.5k - $94.4k
...Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to... ...documentation to conduct low level investigations. The incumbent will also... ..., receive and review suspected fraud and to complete cases with all...
Remote work
Fraud
Live in
Local area
Horizon Health Care Inc
United States
5 days ago
Investigator, Special Investigative Unit Coding (Remote)
...Job TitleProvides support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA).Essential Job Duties... .... • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical...
Remote work
Fraud
Contract work
Work at office
Local area
Molina Healthcare
New York, NY
4 days ago
Remote Prepay Coding Investigator
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...
Remote job
Fraud
Flexible hours
Texas Health Institute
Brooklyn, NY
1 day ago
Investigator, Special Investigative Unit Coding (Remote)
$19.64 - $42.55 per hour
...JOB DESCRIPTION Provides investigative support for special investigation unit... ...activities specific to medical provider coding fraud, waste and abuse (FWA).... ...~ Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor...
Remote work
Fraud
Hourly pay
Contract work
Work experience placement
Work at office
Local area
Molina Healthcare
United States
5 days ago
Remote Prepay Coding Investigator (CPT)
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
Fraud
ISHE
Minneapolis, MN
1 day ago
Program Integrity Investigator (Healthcare Fraud Waste & Abuse)
$64k - $68k
...We offer remote work opportunities (AK, AR, AZ,... ...adjudicated DOD background investigation for this position.... ...of suspected fraud, waste and abuse (FWA... ...• Certified Coder (CPC, CPC-P, CCA, CCS-P), AHFI, or other related... ...HCPCS, DRG and Revenue Code coding conventions. Knowledge...
Remote work
Fraud
Contract work
Temporary work
For subcontractor
Interim role
Local area
Shift work
Triwest Healthcare
United States
3 days ago
Remote SIU Investigator: Healthcare Coding & Fraud
...leading company in healthcare fraud prevention is seeking a... ...Coder or Clinical Coder/Fraud Investigator. This full-time role involves... ...and ensuring compliance with coding guidelines. The position is remote work eligible, requiring a CPC certification and a minimum of...
Remote job
Fraud
Full time
Healthcare Fraud Shield
Chesterfield, MO
4 days ago
SIU Investigator
...application. Healthcare Fraud Shield will not contact... ...Clinical Coder/Fraud Investigator to join our team. RESPONSIBILITIES... ...to make appropriate coding determinations as... ...Professional Coder - (CPC) through governing body... ...initiatives ~ Remote work eligible REMOTE...
Remote work
Fraud
Full time
Flexible hours
Healthcare Fraud Shield
Wildwood, MO
2 days ago
Full-time Remote Investigator
$25.6 - $42.67 per hour
...Overview:Sentara Health Plan is currently hiring a Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote!Status: Full-time, permanent position (40 hours)... ..., physician, ancillary and hospital-based coding in routine desk audits as well as occasional on-...
Remote work
Fraud
Permanent employment
Full time
Temporary work
Live in
Currently hiring
Shift work
Sentara Workforce Solutions, LLC
United States
3 days ago
Remote SIU Investigator & Coding Specialist
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... ..., and provide subject matter expertise for clients. Remote work eligible; 401(k), generous PTO, and professional...
Remote job
Fraud
Healthcare Fraud Shield
Chesterfield, MO
4 days ago
Compliance investigator - inventory
$62.7k
...developing and maintaining an anti-fraud program which includes... ...is responsible for conducting investigations of organizational or functional... ...Professional Coder (CPC) Certified Outpatient Coder... ...claims processing systems and coding and billing proficiency Must...
Remote work
Fraud
Contract work
For contractors
Work at office
Local area
Highmark Health
United States
1 day ago
Remote Fraud & Abuse Investigator — CPC Certified
Sentara Health Plans is seeking an Associate Fraud and Abuse Investigator / Certified Professional Coder (CPC) for a remote position with occasional travel to Virginia Beach... ...a Bachelor's Degree or 2+ years in Medical Coding or related healthcare fields, CPC certification...
Remote job
Fraud
DaMar Staffing
Virginia, IL
3 days ago
Remote SIU Clinical Investigator & Medical Coder
Healthcare Fraud Shield is seeking a Clinical Coder/Fraud Investigator to join our SIU team at headquarters.... ...abstract CPT/HCPCS/ICD-10 codes, and prepare reports... ...standards. The role requires a CPC certification and at... ...to work independently. Remote work eligibility is available...
Remote job
Fraud
Hcfraudshield
Chesterfield, MO
3 days ago
Healthcare Investigator
...healthcare claims and documentation, the full-time remote Healthcare Investigator will conduct detailed audits to identify fraud, waste, and abuse while preparing reports and... ...records Working knowledge of healthcare coding, billing practices, and medical necessity criteria...
Remote work
Fraud
Full time
Virtual Vocations Inc
United States
5 days ago
Remote Manager, SIU & Program Integrity (CPC Certified)
...seeking a Manager for the Special Investigative Unit/Program Integrity (CPC) role, supporting remote work across several states. You... ...certification, and 5 years of coding experience with 2 years in... ...supervision, plus strong alignment to fraud, waste and abuse controls. #J-...
Remote job
Fraud
Sentara Health Plans
Brooklyn, NY
4 days ago
Healthcare Fraud Investigator
...Conducting detailed investigations into potential fraud, waste, and abuse in healthcare claims, the full-time remote Special Investigator will review medical records and claims data... ...fraud patterns Knowledge of healthcare coding, billing, and documentation standards...
Remote work
Fraud
Full time
Virtual Vocations Inc
United States
4 days ago
Full-time Remote Investigator
$56.2k - $101k
...flexibility. Please note: this is a remote role with preference on... ...within Ohio. Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning... ...analyze health care claims and coding required. Pay Range: $56,200.0...
Remote work
Fraud
Full time
Part time
Work at office
Flexible hours
Centene Corporation
Lansing, MI
2 days ago
Investigator, Special Investigative Unit (Remote)
$19.64 - $42.55 per hour
...JOB DESCRIPTION Job Summary Provides investigative support for special investigation unit (... ...recovery of money related to health care fraud, waste, and abuse (FWA). Responsible for... ...and adhering to national and local coding and billing guidelines in order to maintain...
Remote work
Fraud
Hourly pay
Contract work
Work experience placement
Work at office
Local area
Molina Healthcare
United States
4 days ago
Compliance Investigator - Telecommute
...Location: Franklin, TN corporate office with remote work flexibility Travel: Up to 25% The Compliance Investigator is responsible for conducting and... ...Healthcare regulatory compliance Billing and coding concerns Fraud, waste, and abuse risks HIPAA privacy and...
Remote work
Fraud
Work at office
Acadia Healthcare
United States
4 days ago
Senior Investigator - Telecommute
$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... ...behavior through an Investigation Summary and compliance package... ...experience working in a FWA / SIU or Fraud investigations role for...
Remote work
Fraud
Minimum wage
Full time
Work experience placement
Local area
divvyDOSE
United States
3 days ago
Program Integrity Investigator (Healthcare Fraud Waste & Abuse)
...Profile We offer remote work opportunities (AK, AR, AZ, CO... ...adjudicated DOD background investigation for this position. Veterans... ...and reporting of suspected fraud, waste and abuse (FWA) cases... ...Facets Certified Coder (CPC, CPC‑P, CCA, CCS‑P), AHFI, or other related...
Remote work
Fraud
Contract work
For subcontractor
Interim role
TriWest Healthcare Alliance
Phoenix, AZ
3 days ago
Fraud Investigator
...Investigator Position For more than 165 years, the Office of the Indiana Attorney General... ...Attorney General. The Indiana Medicaid Fraud Control Unit Investigator shall investigate... ...of health care operations, billing, coding and documentation guidelines is preferred...
Remote work
Fraud
Full time
Work at office
Night shift
GovernmentJobs.com
United States
3 days ago
Certified Medical Coder (CPC or CCS) - Remote | WFH at Get It - Healthcare Springfield, NJ
$50k - $70k
Overview Certified Medical Coder (CPC or CCS) - Remote | WFH job at Get It - Healthcare. Springfield, NJ. Job Summary: We are looking for a detail... ...Medical Coder to join our team. As a key member of the coding department, you will be responsible for ensuring the accuracy...
Remote job
Full time
Work at office
Work from home
Monday to Friday
Flexible hours
Shift work
Get It - Healthcare
Springfield, NJ
2 days ago
Fraud and Waste Investigator
$65k - $88.6k
...of our caring community The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and... ...: Work at Home. While this is a remote position, occasional travel to Humana... ...., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI) • Experience...
Remote work
Fraud
Full time
Temporary work
For contractors
Apprenticeship
Work at office
Work from home
Home office
Monday to Friday
Humana
United States
1 day ago
Remote Multi-Specialty Medical Coder (5+ yrs, CPC/CCS-P)
...a highly motivated Contract Coder to join our remote team. The ideal candidate must have at least 5 years of coding experience across various surgical specialties... ...compliance with HIPAA regulations. Certifications in CPC or CCS-P are mandatory, while additional...
Remote work
Contract work
AAPC
Salt Lake City, UT
7 hours ago
Remote OB/GYN Medical Coder (CPC/CCS-P)
...a Division Manager, Talent Acquisition to manage coding operations for hospital settings, focusing on OB/... ...should have a HS Diploma and certification as a CPC or CCS-P, along with 2+ years’ coding experience. This remote role offers a W2 contract-to-hire arrangement and...
Remote work
Contract work
nTech Workforce
United States
4 days ago
Manager, Special Investigations Unit Medical Record Audit
$118.6k - $157.14k
...with the Special Investigations Unit (SIU)... ...direction for IEHP’s prepayment and post-... ...functions within the Fraud, Waste, and... ...directing complex coding and... ...Professional Coder (CPC), Certified Professional... ...Specialist (CCS)Certified Fraud... .... (Mon & Fri - remote, Tues - Thurs...
Remote work
Fraud
Temporary work
Inland Empire Health Plan
Rancho Cucamonga, CA
4 days ago
Podiatry Coding Specialist (CPC/CCS-P) — Remote
...podiatry to review clinical documentation and assign ICD-10 and CPT codes for inpatient and outpatient records. You will ensure accurate... ...compliance. This role requires 3+ years of podiatry coding, CPC/CCS-P certification, and knowledge of E/M and surgical coding. Strong...
Remote job
DaMar Staffing
Mount Prospect, IL
3 days ago
Remote Pathology Coder III (CPC/CCS Expert)
...Health is seeking a Pathology Coder III for a remote role within the Revenue Cycle department.... ...review outpatient CPT, HCPCS, and ICD-10 codes, resolve coding errors, and ensure... ...reimbursement practices. The ideal candidate has CPC or CCS certification, at least three years of...
Remote job
Day shift
DaMar Staffing
New York, NY
4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Fraud & Prepay Coding Investigator (CPC/CCS). Be the first to apply!