VirtualVocations • Philadelphia, Pennsylvania, United States
9 days ago
Job type
Full-time
Job description
A company is looking for an Investigator, Special Investigative Unit Coding (Remote). Key Responsibilities Re-evaluates medical claims and records for accuracy and compliance with regulations Manages caseloads and documents to ensure timely investigations and adherence to policies Completes medical reviews to support referrals to law enforcement or payment recovery Required Qualifications At least 2 years of CPT coding experience in a relevant setting Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar Knowledge of medical terminology, billing codes, and healthcare delivery systems Experience in fraud, waste, and abuse investigations may be required based on location Proficiency in Microsoft Office, especially Excel, and relevant software programs
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CPC Certified Coding Investigator • Philadelphia, Pennsylvania, United States
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