- CVS Health (Lansing, MI)
- …with medical record review within a healthcare insurance company. - Prior special investigation unit experience. - Excellent analytical skills. - Excellent ... all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding… more
- Corewell Health (Grand Rapids, MI)
- …SITE - Priority Health - 1231 E Beltline - Grand Rapids Department Name PH - Special Investigations Unit Employment Type Full time Shift Day (United States ... - AHIMA American Health Information Management Association Upon Hire + CRT-Professional Coder - AAPC American Academy of Professional Coders Upon Hire +… more
- CVS Health (Austin, TX)
- …States. Must be flexible to work EDT hours (8:00 am - 5 pm EDT) The Special Investigations Unit (SIU) is looking for an analytically driven individual who ... billing patterns and reviewing incoming referrals to determine if additional investigations are warranted. **Fundamental Components:** -Research and ad hoc report… more
- CVS Health (Bismarck, ND)
- … Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through ... Qualifications:** + A minimum of 2 years of managing staff within a Special Investigation Unit (SIU). + Excellent analytical skills and the ability to mentor and… more
- CVS Health (Hartford, CT)
- …flexible to work EDT hours (8:00 am - 5 pm EDT) Conducts investigations to effectively pursue the prevention, detection, investigation and prosecution of healthcare ... agencies as required by law and regulation. **Fundamental Components:** - Conducts investigations of known or suspected acts of healthcare fraud, waste, and abuse… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Senior Investigator is to assist in the reduction and recuperation ... projects as assigned by management to meet the needs of the Special Investigations Unit . **QUALIFICATIONS:** **Education Level:** Bachelor's Degree… more
- Elevance Health (Woburn, MA)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more