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Coding Siu Jobs (NOW HIRING)

The SIU Investigator IV leads advanced investigations into suspected fraud, waste, and abuse ... Understanding of claim billing codes, medical terminology, anatomy, and health care delivery ...

The SIU Investigator IV leads advanced investigations into suspected fraud, waste, and abuse ... Understanding of claim billing codes, medical terminology, anatomy, and health care delivery ...

SIU Investigator

Nottingham, MD · On-site +1

$58K - $90K/yr

As an SIU Investigator, you'll be responsible for the full lifecycle of complex FWA investigations ... Certified Professional Coder (CPC) #LI-DS1 #LI-Remote Salary range: $58,000 - $90,000 /year The pay ...

SIU Lead Investigator

Minneapolis, MN · On-site

$102K - $121K/yr

Collaborate with SIU Investigator to apply knowledge of coding guidelines to determine validity of aberrances. * Gather all relevant facts to articulate behavior through an Investigation Summary and ...

SIU Lead Investigator

Minneapolis, MN · Remote

$102K - $121K/yr

Collaborate with SIU Investigator to apply knowledge of coding guidelines to determine validity of aberrances. * Gather all relevant facts to articulate behavior through an Investigation Summary and ...

... carrier SIU staff, law enforcement, and government regulatory agencies to identify, prevent and ... codes, and governing agencies. * Provide Claim Adjuster with timely investigation results and ...

... carrier SIU staff, law enforcement, and government regulatory agencies to identify, prevent and ... codes, and governing agencies. * Provide Claim Adjuster with timely investigation results and ...

... carrier SIU staff, law enforcement, and government regulatory agencies to identify, prevent and ... codes, and governing agencies. * Provide Claim Adjuster with timely investigation results and ...

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Coding Siu information

What jobs pay $10,000 a month without a degree?

For a role like Coding Siu, high-paying freelance or contract programming jobs can reach $10,000 per month without a degree, especially for those with strong coding skills in languages like Python, JavaScript, or Java. Success often depends on experience, portfolio, and the ability to secure clients or projects through platforms like Upwork or Fiverr, as well as continuous skill development and certifications in relevant technologies.

Will a medical coder be replaced by AI?

Medical coders, including those in coding roles like Coding Siu, perform complex tasks that require understanding medical records and applying coding standards. While AI and automation tools are increasingly used to assist with coding, human oversight remains essential to ensure accuracy and handle complex cases, so complete replacement is unlikely in the near future.

Is a medical coder still in demand?

Medical coders are still in demand due to ongoing healthcare needs and the shift toward electronic health records. The role requires knowledge of coding systems like ICD-10 and CPT, and certifications such as CPC can enhance job prospects. Employment opportunities are expected to remain stable or grow as healthcare providers prioritize accurate billing and compliance.

What is the difference between Coding Siu vs Coding Technician?

AspectCoding SiuCoding Technician
Required CredentialsCertification in coding standards, possibly a diploma or certificate in medical codingCertification in coding or health information technology, often a diploma or associate degree
Work EnvironmentHealthcare facilities, clinics, hospitalsMedical offices, hospitals, outpatient clinics
Employer & Industry UsageUsed by healthcare providers for billing and record-keepingEmployed in healthcare settings for coding and documentation
Common Search & ComparisonOften compared for roles in medical coding and billingRelated but more technical, focusing on coding accuracy

Both Coding Siu and Coding Technician roles involve medical coding, but Coding Siu typically emphasizes billing and insurance claims, while Coding Technicians focus more on accurate medical record coding. They share similar credentials and work environments, making them closely related in the healthcare industry.

Is medical billing and coding worth it in 2026?

Medical billing and coding is a stable career with growing demand due to the ongoing need for healthcare documentation and insurance processing. Certified professionals with skills in coding systems like ICD-10 and CPT are likely to find job opportunities, often with flexible schedules and remote work options, making it a worthwhile career choice in 2026.
More about Coding Siu jobs
What cities are hiring for Coding Siu jobs? Cities with the most Coding Siu job openings:
What states have the most Coding Siu jobs? States with the most job openings for Coding Siu jobs include:
Infographic showing various Coding Siu job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 69% In-person, and 31% Remote job distribution.
SIU Investigator IV

SIU Investigator IV

Medica

Minnetonka, MN • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted yesterday


Medica rating

8.3

Company rating: 8.3 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

111th of 261 rated insurance


Job description

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
The SIU Investigator IV leads advanced investigations into suspected fraud, waste, and abuse involving members, providers, and employees. The role manages complex cases, conducts specialized audits, and evaluates evidence that informs organizational, regulatory, and legal actions. It provides subject matter expertise, guides investigative approaches, and ensures SIU processes align with legal and compliance standards. This position has significant influence on investigative outcomes and supports team success through expert consultation and direction. Performs other duties as assigned.
Key Accountabilities
  • Lead Complex Fraud, Waste, and Abuse Investigations
    • Direct investigative activities involving complex or high-risk cases.
    • Evaluate evidence from claims data, medical records, interviews, and external sources.
    • Develop investigative conclusions and recommendations that support legal or administrative action.
    • Prepare detailed case summaries that document findings, rationale, and next steps.
  • Conduct Onsite Audits & Provider Reviews
    • Plan and conduct onsite audits to assess compliance with billing, clinical, or operational standards.
    • Analyze provider documentation and practices to identify irregularities or patterns of concern.
    • Present audit results to stakeholders and recommend corrective actions.
    • Maintain accurate, comprehensive documentation to support case continuity and regulatory needs.
  • Serve as a SME with Legal, Regulatory, & Law Enforcement Partners
    • Collaborate with internal legal counsel on case strategies and regulatory considerations.
    • Provide expert insights and case information to law enforcement and regulatory agencies.
    • Represent SIU in external meetings, inquiries, or collaborative investigations.
    • Respond to complex information requests with accuracy and timeliness.
  • Guide SIU Investigative Processes & Contribute to Program Oversight
    • Provide direction to team members on investigative methods, documentation standards, and case strategy.
    • Identify process improvements that strengthen SIU effectiveness and compliance.
    • Monitor investigative trends and risks to inform program planning and prevention efforts.
    • Support development and adherence to SIU policies, procedures, and regulatory requirements.
  • Support Knowledge Sharing & Capability Development within the SIU
    • Mentor less experienced investigators on case management and investigative techniques.
    • Share expertise on emerging fraud schemes, regulatory issues, and investigative best practices.
    • Assist with training or education efforts for internal partners.
    • Promote collaboration across the SIU to support consistent, high-quality investigative work.

Required Qualifications
  • Bachelor's degree or equivalent experience in related field
  • 7+ years of previous investigative work experience beyond degree

Preferred Qualifications
  • Health Care Anti-Fraud Associate (HCAFA)
  • Accredited Health Care Fraud Investigator (AHFI)
  • Certified Fraud Examiner (CFE)
  • Healthcare, health plan or provider SIU experience required
  • Proven investigatory skill; ability to organize, analyze, and effectively determine risk with corresponding solutions; ability to remain objective and separate facts from opinions
  • Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace
  • Fundamental understanding of audits and corrective actions
  • Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems
  • Effective interpersonal skills and customer service focus; ability to interact with individuals at all levels
  • Excellent oral and written communication skills; presentation skills with ability to create and deliver training, informational and other types of programs
  • Advanced skills in Microsoft Office (Word, Excel, PowerPoint, Outlook), SharePoint and Intra/Internet as well as proficiency with incorporating/merging documents from various applications
  • Ability to multi-task and operate effectively across geographic and functional boundaries
  • Initiative, excellent follow-through, persistence in locating and securing needed information
  • Strong logical, analytical, critical thinking and problem-solving skills
  • Proven ability to research and interpret regulatory requirements
  • Understanding of datamining and use of data analytics to detect fraud, waste, and abuse
  • Detail-oriented, self-motivated, able to meet tight deadlines

This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN office, on average, 3 days per week.
The full salary grade for this position is $70,200 - $120,400. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $70,200 - $105,315. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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