SIU Field Investigator
Presbyterian Healthcare Services(12 days ago)
About this role
The SIU Field Investigator role involves conducting audits and investigations related to healthcare fraud, waste, and abuse. The position requires evaluating provider claims and documentation, interviewing witnesses, and collaborating with government agencies to detect and prevent fraudulent activities. This full-time, exempt role is based in Albuquerque, NM, supporting Presbyterian Health Plan's Program Integrity Department.
Required Skills
- Medical Coding
- Investigations
- Healthcare Claims
- Fraud Detection
- Report Writing
- Claims Systems
- Case Management
- Medical Records
- Healthcare Regulations
- Audit
About Presbyterian Healthcare Services
phs.orgFind the medical care and health plan you and your family need at Presbyterian Healthcare Services, an integrated system of hospitals, healthcare providers and insurance plans serving patients and members in New Mexico.
View more jobs at Presbyterian Healthcare Services →Apply instantly with AI
Let ApplyBlast auto-apply to jobs like this for you. Save hours on applications and land your dream job faster.
More jobs at Presbyterian Healthcare Services
Unit Secretary-PRMC
Presbyterian Healthcare Services(3 days ago)
Medical Group Scheduler-PRMC
Presbyterian Healthcare Services(3 days ago)
Medical Social Worker - Inpatient Care Coordination - Emergency Department
Presbyterian Healthcare Services(3 days ago)
Professional Coding Manager-Remote
Presbyterian Healthcare Services(3 days ago)
Similar Jobs
SIU Investigator
Markel(1 month ago)
SIU Investigator - Remote
Prime Therapeutics(27 days ago)
SIU Investigator II (Must live in Indiana or surrounding states)
CareSource(18 days ago)
SIU Investigator
Oscar Health(9 days ago)
SIU Investigator
The Travelers Companies(1 month ago)
SIU Investigator
The Travelers Companies(10 days ago)