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Ahfi Jobs (NOW HIRING)

Cotiviti

Senior Investigator (Healthcare FWA)

$70K - $90K/yr

Accredited Healthcare Fraud Investigator (AHFI), * Certified Fraud Specialist (CFS), * Certified Fraud Examiner (CFE), * Certified Forensic Interviewer (CFI), or * Certified in Healthcare Compliance ...

Cotiviti

Senior Investigator (Healthcare FWA)

$70K - $90K/yr

Accredited Healthcare Fraud Investigator (AHFI), * Certified Fraud Specialist (CFS), * Certified Fraud Examiner (CFE), * Certified Forensic Interviewer (CFI), or * Certified in Healthcare Compliance ...

Cotiviti

Senior Investigator (Healthcare FWA)

$70K - $90K/yr

Accredited Healthcare Fraud Investigator (AHFI), * Certified Fraud Specialist (CFS), * Certified Fraud Examiner (CFE), * Certified Forensic Interviewer (CFI), or * Certified in Healthcare Compliance ...

Cotiviti

Senior Investigator (Healthcare FWA)

$70K - $90K/yr

Accredited Healthcare Fraud Investigator (AHFI), * Certified Fraud Specialist (CFS), * Certified Fraud Examiner (CFE), * Certified Forensic Interviewer (CFI), or * Certified in Healthcare Compliance ...

Medica

SIU Investigator IV

Minnetonka, MN · On-site

Accredited Health Care Fraud Investigator (AHFI) * Certified Fraud Examiner (CFE) * Healthcare, health plan or provider SIU experience required * Proven investigatory skill; ability to organize ...

Medica

SIU Investigator IV

Minnetonka, MN

Accredited Health Care Fraud Investigator (AHFI) * Certified Fraud Examiner (CFE) * Healthcare, health plan or provider SIU experience required * Proven investigatory skill; ability to organize ...

CBIZ

Senior Health Care Analyst (Audit & Data)

Atlanta, GA · Hybrid

$82K - $104K/yr

Certifications such as CFE, AHFI, CHDA, CPMA, RHIT, or RHIA. * Experience in data mining, statistical analysis, or fraud detection methodologies. * Experience working with Medicaid or other ...

Imedica

SIU Investigator IV

Minnetonka, MN

Accredited Health Care Fraud Investigator (AHFI) * Certified Fraud Examiner (CFE) * Healthcare, health plan or provider SIU experience required * Proven investigatory skill; ability to organize ...

Cotiviti

Senior Investigator - Pre-Pay (Healthcare FWA)

$70K - $90K/yr

Accredited Healthcare Fraud Investigator (AHFI), * Certified Fraud Specialist (CFS), * Certified Fraud Examiner (CFE), * Certified Forensic Interviewer (CFI), or * Certified in Healthcare Compliance ...

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How much do ahfi jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for ahfi in the United States is $26.34, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $30.77 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an AHFI (Accredited Health Fraud Investigator), and why are they important?

To thrive as an AHFI, you need a solid background in healthcare compliance, fraud investigation, and knowledge of regulatory standards, typically validated by the AHFI credential. Familiarity with case management systems, data analytics tools, and legal research databases is crucial. Strong analytical thinking, ethical judgment, and clear communication set outstanding investigators apart. These skills ensure effective detection and prevention of health care fraud, protecting both organizations and patients.

What is the difference between Ahfi vs HVAC Technician?

AspectAhfiHVAC Technician
Required CertificationsTypically none or specialized safety certificationsHVAC certification, EPA certification
Work EnvironmentIndustrial, manufacturing, or safety-focused settingsResidential, commercial, or industrial HVAC systems
Industry UsageUsed in safety and industrial sectorsCommonly employed in building climate control
Job FocusSafety, compliance, and industrial processesInstallation, maintenance, and repair of HVAC systems

Ahfi and HVAC Technician roles differ mainly in their focus and work environment. Ahfi professionals often work in industrial or safety-related settings with minimal certifications, while HVAC Technicians focus on climate control systems, requiring specific certifications. Both roles are essential in their respective industries but serve different purposes and environments.

What are Ahfi?

It appears that 'Ahfi' is not a recognized job title or commonly known occupation. It may be a typographical error or an acronym that is not widely used in the context of job titles. If you meant a different job title or if 'Ahfi' refers to a specific organization or role, please provide more details for accurate information.
More about Ahfi jobs
What cities are hiring for Ahfi jobs? Cities with the most Ahfi job openings:
What states have the most Ahfi jobs? States with the most job openings for Ahfi jobs include:
What job categories do people searching Ahfi jobs look for? The top searched job categories for Ahfi jobs are:
Ahfi jobs near you
Infographic showing various Ahfi job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 44% In-person, and 56% Remote job distribution, with an average salary of $54,791 per year, or $26.3 per hour.
Investigator, Special Investigative Unit Coding-Miami Florida

Investigator, Special Investigative Unit Coding-Miami Florida

Molina Healthcare

Saint Petersburg, FL

$21.82 - $42.55/hr

Full-time

Posted 7 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

145th of 260 rated insurance

Job description

JOB DESCRIPTION
Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and abuse investigations of medical providers using informational tips from member benefits and medical records following review of post-payment claims. 
Essential Job Duties
  • Independently re-evaluates medical claims and associated records by applying knowledge of advanced coding, all relevant and applicable Federal and State regulatory requirements, and Molina policies.
  • Reviews post-pay claims against corresponding medical records to determine accuracy of claims payments. 
  • Manages documents and prioritizes caseloads to ensure timely turnaround. 
  • Ensures adherence to applicable state/federal/internal policies, Current Procedural Terminology (CPT) guidelines and provider contract requirements.
  • Devises clinical summary post-review.
  • Communicates and participates in meetings related to cases.
  • Completes medical review to facilitate referral to law enforcement or payment recovery. 
  • Supports investigation work as necessary and required by the regulatory agency.
Job Requirements
  • At least 2 years CPT coding experience in a surgical, hospital and/or clinic setting, or equivalent combination of relevant education and experience.
  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified
  • Critical-thinking, problem-solving and analytical skills. 
  • Ability to prioritize and manage multiple tasks.
  • Ability to work in a team setting.
  • Strong verbal/written communication skills, and presentation skills.
  • Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
  • In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements). 
  • Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
  • Knowledge of Managed Care and the Medicaid, Medicare, and Marketplace programs.
  • Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
  • Ability to research and interpret regulatory requirements.
Preferred Qualifications
  • Certified Professional Compliance Officer (CPCO). 
  • Certified Fraud Examiner (CFE) and/or Accredited Health Care Fraud Investigator (AHFI). 
  • Experience working in group health insurance, particularly within claims processing or operations. 
  • Working knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.). 
  • Experience with claims processing systems. 
  • Ability to use Microsoft Excel/Access platforms working with large quantities of data. 
  • Ability to answer questions, identify trends and patterns, and present findings. 
 #PJCorp
#LI-AC1
To all current Molina employees. If you are interested in applying for this position, please apply through the Internal Job Board. 
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $21.82 - $42.55 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

What Molina Healthcare employees say

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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