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 ...
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 ...
Investigator, Special Investigative Unit Coding-Miami Florida
Fort Lauderdale, FL · On-site
$21.82 - $42.55/hr
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 ...
Investigator, Special Investigative Unit Coding-Miami Florida
Fort Lauderdale, FL · On-site
$21.82 - $42.55/hr
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 ...
Investigator, Special Investigative Unit Coding-Miami Florida
Orlando, FL · On-site
$21.82 - $42.55/hr
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 ...
Investigator, Special Investigative Unit Coding-Miami Florida
Orlando, FL · On-site
$21.82 - $42.55/hr
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 ...
Special Investigations Unit Clinical Certified Coder
Manhattan, NY · Hybrid
$100K - $110K/yr
Collaborate with other SIU team members to evaluate suspected cases of fraudulent activities, such ... Stay updated to changes to coding guidelines, healthcare regulations, and fraud detection methods ...
Special Investigations Unit Clinical Certified Coder
Manhattan, NY · Hybrid
$100K - $110K/yr
Collaborate with other SIU team members to evaluate suspected cases of fraudulent activities, such ... Stay updated to changes to coding guidelines, healthcare regulations, and fraud detection methods ...
Special Investigations Unit Clinical Certified Coder
Manhattan, NY · On-site
$100K - $110K/yr
Collaborate with other SIU team members to evaluate suspected cases of fraudulent activities, such ... Stay updated to changes to coding guidelines, healthcare regulations, and fraud detection methods ...
Special Investigations Unit Clinical Certified Coder
Manhattan, NY · On-site
$100K - $110K/yr
Collaborate with other SIU team members to evaluate suspected cases of fraudulent activities, such ... Stay updated to changes to coding guidelines, healthcare regulations, and fraud detection methods ...
PI Medical Coding Reviewer II (CPC, RHIT or RHIA required)
Dayton, OH · On-site +1
$54K - $87K/yr
The Program Integrity Medical Coding Reviewer II is responsible for review of medical record audit ... Refer suspected Fraud, Waste, or Abuse to the SIU when identified in normal course of business.
New
PI Medical Coding Reviewer II (CPC, RHIT or RHIA required)
Dayton, OH · On-site +1
$54K - $87K/yr
The Program Integrity Medical Coding Reviewer II is responsible for review of medical record audit ... Refer suspected Fraud, Waste, or Abuse to the SIU when identified in normal course of business.
New
Dental Hygienist - Quincy (2150)
Quincy, IL · On-site
$38 - $50/hr
Document procedure codes for services rendered. * Perform other duties assigned. Qualifications ... The SIU School of Medicine Annual Security Report is available online at This report contains ...
Dental Hygienist - Quincy (2150)
Quincy, IL · On-site
$38 - $50/hr
Document procedure codes for services rendered. * Perform other duties assigned. Qualifications ... The SIU School of Medicine Annual Security Report is available online at This report contains ...
Director of Coding Compliance
Bronx, NY · On-site
Partner with Compliance, SIU, Clinical Operations, Provider Education, and RCM teams to support organizational initiatives. * Develop and deliver provider and staff education related to coding ...
Director of Coding Compliance
Bronx, NY · On-site
Partner with Compliance, SIU, Clinical Operations, Provider Education, and RCM teams to support organizational initiatives. * Develop and deliver provider and staff education related to coding ...
Director of Coding Compliance
Bronx, NY · On-site
$85K - $110K/yr
Partner with Compliance, SIU, Clinical Operations, Provider Education, and RCM teams to support organizational initiatives. * Develop and deliver provider and staff education related to coding ...
Director of Coding Compliance
Bronx, NY · On-site
$85K - $110K/yr
Partner with Compliance, SIU, Clinical Operations, Provider Education, and RCM teams to support organizational initiatives. * Develop and deliver provider and staff education related to coding ...
... coding accuracy and excellence. Essential Job Duties • Responsible for developing leads presented to the special investigation unit (SIU) to assess and determine whether potential fraud, waste, or ...
New
... coding accuracy and excellence. Essential Job Duties • Responsible for developing leads presented to the special investigation unit (SIU) to assess and determine whether potential fraud, waste, or ...
New
... coding accuracy and excellence. Essential Job Duties Responsible for developing leads presented to the special investigation unit (SIU) to assess and determine whether potential fraud, waste, or ...
... coding accuracy and excellence. Essential Job Duties Responsible for developing leads presented to the special investigation unit (SIU) to assess and determine whether potential fraud, waste, or ...
... coding accuracy and excellence. Essential Job Duties Responsible for developing leads presented to the special investigation unit (SIU) to assess and determine whether potential fraud, waste, or ...
... coding accuracy and excellence. Essential Job Duties Responsible for developing leads presented to the special investigation unit (SIU) to assess and determine whether potential fraud, waste, or ...
... coding accuracy and excellence. Essential Job Duties • Responsible for developing leads presented to the special investigation unit (SIU) to assess and determine whether potential fraud, waste, or ...
New
... coding accuracy and excellence. Essential Job Duties • Responsible for developing leads presented to the special investigation unit (SIU) to assess and determine whether potential fraud, waste, or ...
New
This role works collaboratively with the entire SIU team and communicates with internal business ... Minimum of three (3) years experience in healthcare coding directly related to determining ...
This role works collaboratively with the entire SIU team and communicates with internal business ... Minimum of three (3) years experience in healthcare coding directly related to determining ...
This role works collaboratively with the entire SIU team and communicates with internal business ... Minimum of three (3) years experience in healthcare coding directly related to determining ...
This role works collaboratively with the entire SIU team and communicates with internal business ... Minimum of three (3) years experience in healthcare coding directly related to determining ...
Partner with Compliance, SIU, Clinical Operations, Provider Education, and RCM teams to support organizational initiatives. * Develop and deliver provider and staff education related to coding ...
Partner with Compliance, SIU, Clinical Operations, Provider Education, and RCM teams to support organizational initiatives. * Develop and deliver provider and staff education related to coding ...
Director of Coding Compliance
Bronx, NY · On-site
$85K - $110K/yr
Partner with Compliance, SIU, Clinical Operations, Provider Education, and RCM teams to support organizational initiatives. * Develop and deliver provider and staff education related to coding ...
Director of Coding Compliance
Bronx, NY · On-site
$85K - $110K/yr
Partner with Compliance, SIU, Clinical Operations, Provider Education, and RCM teams to support organizational initiatives. * Develop and deliver provider and staff education related to coding ...
Partner with Compliance, SIU, Clinical Operations, Provider Education, and RCM teams to support organizational initiatives. * Develop and deliver provider and staff education related to coding ...
Partner with Compliance, SIU, Clinical Operations, Provider Education, and RCM teams to support organizational initiatives. * Develop and deliver provider and staff education related to coding ...
... coding accuracy and excellence. Essential Job Duties • Responsible for developing leads presented to the special investigation unit (SIU) to assess and determine whether potential fraud, waste, or ...
New
... coding accuracy and excellence. Essential Job Duties • Responsible for developing leads presented to the special investigation unit (SIU) to assess and determine whether potential fraud, waste, or ...
New
... coding accuracy and excellence. Essential Job Duties Responsible for developing leads presented to the special investigation unit (SIU) to assess and determine whether potential fraud, waste, or ...
... coding accuracy and excellence. Essential Job Duties Responsible for developing leads presented to the special investigation unit (SIU) to assess and determine whether potential fraud, waste, or ...
Coding Siu information
Can you make 100k as a medical coder?
Will a medical coder be replaced by AI?
What is the highest paid coding job?
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.
Are medical coders still in demand?

$21.82 - $42.55/hr
Full-time
Re-posted 19 days ago
Molina Healthcare rating
8.1
Based on 193 frontline employees who took The Breakroom Quiz
133rd of 278 rated insurance
Job description
- 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.
- 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.
- 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.
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.
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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