The SIU Investigator (Analyst) primary responsibility is to detect, investigate, and produce change ... Perform coding reviews for flagged claims, to support Coding team (if applicable). Requirements ...
The SIU Investigator (Analyst) primary responsibility is to detect, investigate, and produce change ... Perform coding reviews for flagged claims, to support Coding team (if applicable). Requirements ...
The SIU Investigator (Analyst) primary responsibility is to detect, investigate, and produce change ... Perform coding reviews for flagged claims, to support Coding team (if applicable). Requirements ...
The SIU Investigator (Analyst) primary responsibility is to detect, investigate, and produce change ... Perform coding reviews for flagged claims, to support Coding team (if applicable). Requirements ...
Clinical Provider Auditor II - Payment Integrity SIU Clinical Provider Auditor II - Payment ... Requires coding certification (CPC, CCS, CPMA). Preferred Experience: * Prepay review of Medicare ...
Clinical Provider Auditor II - Payment Integrity SIU Clinical Provider Auditor II - Payment ... Requires coding certification (CPC, CCS, CPMA). Preferred Experience: * Prepay review of Medicare ...
Clinical Provider Auditor II - Payment Integrity SIU Clinical Provider Auditor II - Payment ... Requires coding certification (CPC, CCS, CPMA). Preferred Experience: * Prepay review of Medicare ...
Clinical Provider Auditor II - Payment Integrity SIU Clinical Provider Auditor II - Payment ... Requires coding certification (CPC, CCS, CPMA). Preferred Experience: * Prepay review of Medicare ...
Clinical Provider Auditor II - Payment Integrity SIU Location: This role requires associates to be ... Requires coding certification (CPC, CCS, CPMA). Preferred Experience: * Prepay review of Medicare ...
Clinical Provider Auditor II - Payment Integrity SIU Location: This role requires associates to be ... Requires coding certification (CPC, CCS, CPMA). Preferred Experience: * Prepay review of Medicare ...
Clinical Provider Auditor II - Payment Integrity SIU Location: This role requires associates to be ... Requires coding certification (CPC, CCS, CPMA). Preferred Experience: * Prepay review of Medicare ...
Clinical Provider Auditor II - Payment Integrity SIU Location: This role requires associates to be ... Requires coding certification (CPC, CCS, CPMA). Preferred Experience: * Prepay review of Medicare ...
Clinical Provider Auditor II - Payment Integrity SIU Location: This role requires associates to be ... Requires coding certification (CPC, CCS, CPMA). Preferred Experience: * Prepay review of Medicare ...
Clinical Provider Auditor II - Payment Integrity SIU Location: This role requires associates to be ... Requires coding certification (CPC, CCS, CPMA). Preferred Experience: * Prepay review of Medicare ...
Clinical Provider Auditor II - Payment Integrity SIU Location: This role requires associates to be ... Requires coding certification (CPC, CCS, CPMA). Preferred Experience: * Prepay review of Medicare ...
Clinical Provider Auditor II - Payment Integrity SIU Location: This role requires associates to be ... Requires coding certification (CPC, CCS, CPMA). Preferred Experience: * Prepay review of Medicare ...
Write and grade fraud-flagging scenarios using structured reason codes (late reporting, recently purchased policy, inconsistent damage) for SIU referral; * Build subrogation test cases applying state ...
Write and grade fraud-flagging scenarios using structured reason codes (late reporting, recently purchased policy, inconsistent damage) for SIU referral; * Build subrogation test cases applying state ...
In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by health ...
In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by health ...
In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by health ...
In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by health ...
System Integration Engineer - Project Senior Consultant Managed Services
Rosslyn, VA · On-site
$190K/yr
... SIU, DFT-including triggers, acknowledgements (ACK), error handling, retries, and reprocessing. * Create and maintain data mappings/transformations (e.g., HealthConnect DTL), and implement code-based ...
System Integration Engineer - Project Senior Consultant Managed Services
Rosslyn, VA · On-site
$190K/yr
... SIU, DFT-including triggers, acknowledgements (ACK), error handling, retries, and reprocessing. * Create and maintain data mappings/transformations (e.g., HealthConnect DTL), and implement code-based ...
System Integration Engineer - Project Senior Consultant Managed Services
Arlington, VA · On-site
$192K/yr
... SIU, DFT-including triggers, acknowledgements (ACK), error handling, retries, and reprocessing. * Create and maintain data mappings/transformations (e.g., HealthConnect DTL), and implement code-based ...
System Integration Engineer - Project Senior Consultant Managed Services
Arlington, VA · On-site
$192K/yr
... SIU, DFT-including triggers, acknowledgements (ACK), error handling, retries, and reprocessing. * Create and maintain data mappings/transformations (e.g., HealthConnect DTL), and implement code-based ...
Oversee itemized bill review for: revenue codes, HCPCS/CPT mapping, units/quantity validation ... SIU/Compliance/Legal per policy. * Support both pre-payment and post-payment audit strategies ...
Oversee itemized bill review for: revenue codes, HCPCS/CPT mapping, units/quantity validation ... SIU/Compliance/Legal per policy. * Support both pre-payment and post-payment audit strategies ...
Manager, Hospital Bill Audit & Itemized Bill Review (Program Integrity)
Norfolk, VA · Hybrid
$100K - $132K/yr
Oversee itemized bill review for: revenue codes, HCPCS/CPT mapping, units/quantity validation ... SIU/Compliance/Legal per policy. * Support both pre-payment and post-payment audit strategies ...
Manager, Hospital Bill Audit & Itemized Bill Review (Program Integrity)
Norfolk, VA · Hybrid
$100K - $132K/yr
Oversee itemized bill review for: revenue codes, HCPCS/CPT mapping, units/quantity validation ... SIU/Compliance/Legal per policy. * Support both pre-payment and post-payment audit strategies ...
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?
| Aspect | Coding Siu | Coding Technician |
|---|---|---|
| Required Credentials | Certification in coding standards, possibly a diploma or certificate in medical coding | Certification in coding or health information technology, often a diploma or associate degree |
| Work Environment | Healthcare facilities, clinics, hospitals | Medical offices, hospitals, outpatient clinics |
| Employer & Industry Usage | Used by healthcare providers for billing and record-keeping | Employed in healthcare settings for coding and documentation |
| Common Search & Comparison | Often compared for roles in medical coding and billing | Related 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.
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What job categories do people searching Coding Siu jobs in Virginia look for? The top searched job categories for Coding Siu jobs in Virginia are:
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What cities in Virginia are hiring for Coding Siu jobs? Cities in Virginia with the most Coding Siu job openings:
SIU Healthcare Investigator (Full-time, Remote)
Integrity Management Services, Inc.Alexandria, VA • On-site, Remote
Other
Posted 16 days ago
Job description
Job Summary
We are seeking a detail-oriented SIU Investigator to join our team. In this role, you will play a crucial role in ensuring the accuracy, compliance, and integrity of healthcare claims through comprehensive audits, analyses, and process improvements. The SIU Investigator (Analyst) primary responsibility is to detect, investigate, and produce change in aberrant behavior observed in our healthcare customer's claims and enrollment data. You will work both independently and with a team of clinical SMEs to analyze data, assess exposure, and manage investigative caseload from identification through to resolution including overpayment recovery, measuring behavior change and completing necessary reporting for FWA recoupments and savings.
Key Responsibilities
- Identify and conduct investigations into known or suspected FWA with high autonomy
- Develop documentation to substantiate findings, including formal reports, graphs, audit logs, and other supporting documentation.
- Perform root cause analysis to inform future algorithmic identification of similar claims or cases and associated savings (i.e., help move identified case types from "pay-and-chase" to preventive edits and pre-payment activity)
- Participate in the development and presentation of FWA-related education for assigned Customers
- Perform coding reviews for flagged claims, to support Coding team (if applicable).
Requirements
Qualifications
- Education:
- Bachelor's degree in Criminal Justice or a related field, OR at least 3 years of insurance claims investigation experience or professional investigation experience with law enforcement agencies.
- Experience:
- Minimum of 2 years of experience in healthcare claims analysis, auditing, payment integrity, or a related field.
- Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity
- Experience handling confidential information and following policies, rules, and regulations
- Experience with commercial, Medicare, or Medicaid claims is highly preferred.
- Skills:
- Strong analytical and problem-solving skills, with attention to detail and accuracy.
- Excellent communication skills, both written and verbal, for effective collaboration with internal teams and external providers.
- Proficiency in Microsoft Office, particularly Excel, and familiarity with claims processing or audit software is a plus.
Preferred Qualifications
- Certifications: Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML (Anti-Money Laundering) and Fraud Professional (CAFP), or similar desired.
- Additional Certifications: Certified Professional Coder (CPC) or similar desired.
About Integrity Management Services
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
51 - 200 Employees
Headquarters location
Alexandria, VA, US
Year founded
2009