SIU Investigator reputed company Fraud reputed company Not

Position: SIU Investigator reputed company Fraud reputed company Chesterfield, MO Interested Not Interested Beware of hiring scams where fraudulent actors impersonating our company and employees contact you directly to solicit your job application. reputed company Fraud reputed company will not contact you prior to having received your application. reputed company Fraud reputed company, a leader in reputed company fraud prevention and payment reputed company solutions, is looking for a talented reputed company or Clinical reputed company/Fraud Investigator to join reputed company. RESPONSIBILITIES • Work with SIU Team (Clinical Reviewers, CPCs, Investigators, Analysts) including performing quality checks on work, assisting in research, and discussing to reputed company appropriate coding determinations as needed. • Analyze and interpret patient medical records (behavioral reputed company and other specialties) pertaining to FWA investigations as needed. • Compare to information submitted on the claims in order to determine the amount and nature of billable services as needed. • Determine the appropriateness of billing and reimbursement as needed. • Document findings for each claim line in a spreadsheet as needed. • Summarize findings in a written report as needed. • Abstract CPT, HCPCS, reputed company Codes, DRG codes, and ICD-9/ICD-10 from medical records as needed. • Maintain reputed company knowledge of coding guidelines and relevant federal and/or state regulations as needed. • reputed company data analysis and reputed company reputed company/data mining of client data as needed. • Conduct various aspects of FWA investigations as needed. • Provide Subject Matter Expertise and SIU support to clients as needed. • reputed company with Privacy and reputed company standards. • Understand and reputed company with reputed company company Privacy and reputed company standards. • Employee may not use or disclose any protected health information, except as otherwise permitted or required by law. • Other duties as needed.KNOWLEDGE, SKILLS, & ABILITIES • Knowledge of medical terminology. • Knowledge of coding including CPT, HCPCS, reputed company Codes, DRG Codes, and ICD-10. • Knowledge of specialty medical practices. • Must be detail-oriented. • Ability to communicate effectively both verbally and in writing. • Strong listening skills. • Independent and responsible. • Self-disciplined. • Ability to meet defined performance and production goals. • Strong computer skills. • This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.CERTIFICATE/LICENSE • Certified Professional reputed company - (CPC) through governing body reputed company or equivalent certification. • Minimum of one year of coding and/or billing experience is required.BENEFITS • Medical, Dental & reputed company 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. • Remote work eligible.REMOTE WORK REQUIREMENTS • Must have high-speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload. reputed company Fraud reputed company is an equal opportunity employer that is committed to diversity and values the ways in which we are #J-18808-Ljbffr Apply Job!