Job details
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SIU Investigator
Healthcare Fraud Shield, a leader in healthcare fraud prevention and payment integrity solutions, is looking for a talented Coder or Clinical Coder/Fraud Investigator to join our team.
Skills
- Knowledge of medical terminology
- Knowledge of coding including CPT, HCPCS, Revenue Codes, DRG Codes, and ICD-10
- Detail oriented
- Effective communication skills
- Strong listening skills
- Computer skills
Responsibilities
- Work with SIU Team (Clinical Reviewers, CPCs, Investigators, Analysts)
- Analyze and interpret patient medical records pertaining to FWA investigations
- Compare information submitted on the claims to determine billable services
- Document findings and summarize in a written report
- Abstract CPT, HCPCS, Revenue Codes, DRG codes, and ICD-9/ICD-10 from medical records
- Maintain knowledge of coding guidelines and regulations
- Perform data analysis and lead generation/data mining
- Provide SIU support to clients
- Comply with Privacy and Security standards
Benefits
- Medical, Dental & Vision insurance
- 401(k) retirement savings with employer match
- Vacation and sick paid time off
- 8 paid holidays
- Paid maternity/paternity leave
- Disability & Life insurance
- Flexible Spending Account (FSA)
- Employee Assistance Program (EAP)
- Professional and career development initiatives
To read the complete job description, please click on the ‘Apply’ button
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DEPARTMENTS
SENIORITY LEVEL REQUIREMENT
TEAM SIZE
No info
LOCATION
EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
May 7, 2024
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