- Molina Healthcare (IA)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by ... GED (or higher) **Required Experience** + 3+ years CPT coding experience (surgical, hospital, clinic settings) or 5+ years...5+ years of experience working in a FWA / SIU or Fraud investigations role + Thorough… more
- CVS Health (Oklahoma City, OK)
- …it all with heart, each and every day. Kentucky Resident is preferred The SIU Investigator conducts investigations to effectively pursue the prevention, ... in identifying resources and best course of action on investigations . - Cooperates with federal, state, and local law...Fraud, Waste and Abuse investigatory experience. + Billing and Coding certifications such as CPC (AAPC)and/or CCS… more
- CVS Health (Baton Rouge, LA)
- …accreditation from the National Health Care Anti-Fraud Association (AHFI). - Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA) - Knowledge ... all with heart, each and every day. **Position Summary** - Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare… more
- Elevance Health (Columbus, GA)
- ** Investigator Senior - Carelon Payment Integrity SIU ** **_Location:_** Alternate locations may be considered. _This position will work a hybrid model (1-2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** is responsible for the independent identification, investigation,… more
- CVS Health (St. Paul, MN)
- …self-insured plans for our Meritain TPA business. This role will work within the Special Investigations Unit , while also working with various stakeholder ... well as generate, reports as needed-an analytical and statistical background. **Education:** + CPC Coding Certificate or equivalent + Nursing degree + RN license… more