Job Summary
The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on allegations of FWA and/or may determine appropriateness of care. The SIU Investigator is also responsible for recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence. The position entails producing audit reports for internal and external review and may involve working with other internal departments, including Compliance, Corporate Legal Counsel, and Medical Officers to maintain appropriate anti-fraud oversight.
Job Duties
Job Qualifications
Compensation Information
...Collaborate closely with the Creative Director, concept artists, and animation team totranslate 2Dconcepts into fully realized 3D... ...Pochaina metro station, equipped with a power generator, or fully remotely; ~20 working days of vacation per year; ~10 paid sick days...
ABOUT THE JOB Family in Embassy Row is looking to hire a Nanny Housekeeper. This is a full-time position that can be live-in or live-out based on the candidate's preference. THE EMPLOYER Loving family of 3 with a 9-year-old is looking for a replacement nanny,...
...experience only obtained within a fast-growing organization Entry-level roles through executive leadership. Feel fulfilled... ...and celebrate the wins. The Role: The Finance Business Intelligence Analyst will work with stakeholders and Product Owners to understand...
...Join The Party Staff: Experienced Hospitality Bartenders and Servers Wanted Love events & crave flexibility? The Party Staff seeks... ...professionals. Boost your resume: Gain experience with top caterers, hotels & event planners. Requirements: Experience in restaurants...
Health Insurance Underwriter Location Dalton, GA : Description: MISSION Our mission is to enhance well-being by connecting individuals with... ...underwriting experience preferred Intermediate knowledge level of Excel, SQL and PowerPoint Ability to learn quickly and...