- CareFirst (Baltimore, MD)
- …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Special Investigations Unit **Equal Employment Opportunity** ... Level:** High School Diploma or GED. **Licenses/Certifications Required Upon Hire:** + CCS-Certified Coding Specialist or + Certified Coder (CCS or CPC)-AHIMA or… more
- Molina Healthcare (Owensboro, KY)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by ... 5+ years of experience working in a FWA / SIU or Fraud investigations role for New...those findings. **Preferred License, Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist … more
- The Cigna Group (Nashville, TN)
- …and ICD-10 coding guidelines; *Collaborates with all areas of compliance, the special investigations unit , and business owners to drive process ... working with Medicare Advantage, Medicare-Medicaid. Plan (Dual-Eligible) and/or Medicaid. **Certified Coding Specialist required.** 5+ years of experience with… more