- Centene Corporation (Tallahassee, FL)
- …practices + Consult investigators to identify abuse and fraud by utilizing clinical and coding expertise to analyze patterns in billing activities + Performs ... LPC, LCSW, LMHC, PT, OT or ST license and 2+ years of related clinical experience in the field of obtained license. Experience in provider education preferred.… more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case...experience working in a FWA / SIU or Fraud investigations + Thorough knowledge of PC based software including… more