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
...Allegiant Fire Protection is THE choice employer for Fire Protection Professionals. We are proud of our small company roots and employee centric culture. Allegiant appreciates our employees and shows that by providing competitive compensation, career opportunity and excellent...
eDiscovery Analyst (Specialist in Relativity, Reveal or Everlaw) Position Summary : The eDiscovery Analyst, specializing in Relativity, Reveal or Everlaw, plays a pivotal role in our organization, responding for overseeing and managing e-discovery projects from inception...
...We are seeking a Pipefitter/Plumber who will Install, maintain, modify, and repair different types of pipe system and associated components in office and academic buildings, student residential areas, and other university owned structures on campus. Performs primarily...
...around. From showing off our latest creations to finding a unique design for a client, no day is ever the same. And with tons of... ...candidate is self-driven, ambitious, and engaged. This is not an apprenticeship . Job Description 3rdKey /Social Media Manager Overview...
...the sales team, ensuring high standards of customer service, and maintaining visual merchandising. Candidates should have at least 2 years of supervisory experience in retail sales, preferably in luxury fashion. Strong leadership and communication skills are essential.