SIU Coding Investigator New Jersey New York

Location: Remote
Compensation: Hourly
Staff Reviewed: Thu, Feb 08, 2024
This job expires in: 8 days

Job Summary

An employer is seeking a Coding SIU Investigator for a remote position.

Key Responsibilities:
  • Investigate and resolve instances of healthcare fraud and abuse by medical providers
  • Review post pay claims and medical records to determine accuracy of claims payments
  • Complete medical review to facilitate referral to law enforcement or payment recovery

Required Qualifications:
  • High School Diploma / GED (or higher)
  • 3+ years CPT coding experience or 5+ years of experience in FWA/SIU or Fraud investigations role
  • Thorough knowledge of PC based software including Microsoft Word and Excel
  • Licensed registered nurse (RN), licensed practical nurse (LPN), and/or certified coder (CPC, CCS, and/or CPMA)
  • Bachelor's degree (or higher) preferred

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