- McLaren Health Care (Flint, MI)
- …more about MDwise, Inc. at https://www.mdwise.org/ . **Position Overview:** The Special Investigations Unit (SIU) Coder supports lines of business from ... We are looking for a SIU Coder , to join us in leading our organization...performing medical claims and records reviews to assist in investigations , ensuring compliance with coding practices through a comprehensive… more
- CVS Health (Pierre, SD)
- …all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding ... to testify **Required Qualifications** - AAPC Coding certification - Certified Professional Coder (CPC) - 3+ years of experience in medical coding or documentation… 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
- Elevance Health (Grand Prairie, TX)
- …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
- Rush University Medical Center (Chicago, IL)
- …Assists in the development of corrective action plans and participates in compliance investigations as needed. 12. Manages special projects individually or in ... **Job Description** Location: Chicago, Illinois Business Unit : Rush Medical Center Hospital: Rush University Medical Center Department: PB Revenue Integrity **Work… more