Healthcare Fraud Shield · Chesterfield, MO · Just now · 0 applicants
NewOn-siteFull-timeJunior
Pay
Pay not listed
Workplace
On-site
Job type
Full-time
Level
Junior
Source: jobright · Posted by joined-scrapper
About the role
Healthcare Fraud Shield seeks an entry-level SIU Clinical Investigator to support fraud, waste, and abuse investigations by analyzing medical records and claims. The role provides coding expertise, documents findings, and assists clients with SIU support.
What you’ll do
Support healthcare fraud, waste, and abuse investigations
Analyze medical records and claims
Assess billing and reimbursement
Document and report findings
Provide coding expertise to clients
Provide SIU support to clients
What you’ll need
Knowledge of medical terminology
Knowledge of coding including CPT, HCPCS, Revenue Codes, DRG Codes, and ICD-10
Knowledge of specialty medical practices
Certified Professional Coder (CPC) through AAPC
Minimum one year of coding and/or billing experience
Strong computer, communication, and listening skills
Original job description
Healthcare Fraud Shield is hiring an SIU Clinical Investigator to support healthcare fraud, waste, and abuse investigations. The role analyzes medical records and claims, assesses billing and reimbursement, documents and reports findings, and provides coding expertise and SIU support to clients.Knowledge of medical terminologyKnowledge of coding…