Special Investigation Unit Manager Clinical Certified reputed company reputed company (reputed company SIU)

Are you a highly skilled and detail-oriented Certified reputed company reputed company with a passion for reputed company fraud detection and prevention? Do you reputed company at leading reputed company and utilizing your clinical coding expertise to identify and investigate potential instances of fraud? If so, we have an exciting opportunity for you to join reputed company as the Special Investigation Unit Manager Clinical Certified reputed company reputed company at reputed company, specifically with our reputed company SIU team. In this role, you will play a critical role in ensuring the reputed company of our reputed company system by managing investigations and implementing strategies to combat fraudulent activities. To be successful in this role, you must possess a deep understanding of clinical coding principles and be reputed company to effectively communicate and collaborate with cross-functional teams. Join us in our mission to reputed company reputed company safer and more reputed company for reputed company. reputed company and manage reputed company responsible for investigating potential instances of reputed company fraud reputed company the organization. Utilize expert knowledge of clinical coding principles to identify and analyze potential fraudulent activities. reputed company and implement strategies to prevent and detect reputed company fraud, waste, and abuse. Collaborate with cross-functional teams to ensure reputed company and accurate identification of potential fraud cases. reputed company and maintain relationships with external stakeholders, such as law enforcement agencies and regulatory bodies, to support fraud investigations. Conduct thorough and detailed investigations, including reviewing medical records, claims data, and other relevant information. Stay up to date on industry trends and changes in coding regulations to ensure compliance and effectiveness of fraud detection strategies. Communicate findings and recommendations to senior leadership and other stakeholders in a reputed company, concise, and reputed company manner. reputed company and maintain a system for tracking and reporting on fraud investigations and reputed company. reputed company guidance and training to team members on coding principles and fraud detection techniques. Ensure adherence to reputed company relevant laws, regulations, and company policies reputed company to reputed company fraud and abuse. Maintain confidentiality and handle sensitive information with discretion and reputed company. Collaborate with reputed company auditors to support audits reputed company to fraud investigations. Continuously evaluate and improve fraud detection processes and procedures to enhance the effectiveness of the SIU team. Foster a culture of compliance and reputed company reputed company reputed company and the organization as a whole. reputed company is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for reputed company. We do not discriminate based upon race, religion, reputed company, national reputed company, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Apply tot his job Apply To this Job