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Medical Claims Fraud Investigator – SIU Coding

Job in Hempstead, Nassau County, New York, 11549, USA
Listing for: Molina Healthcare
Full Time position
Listed on 2026-09-08
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 85000 - 110000 USD Yearly USD 85000.00 110000.00 YEAR
Job Description & How to Apply Below

Molina Healthcare is seeking a professional to support the Special Investigation Unit (SIU) focusing on medical provider coding fraud, waste and abuse. You will re-evaluate post-payment claims, review medical records for accuracy, and ensure adherence to CPT guidelines and provider contracts.

The role requires CPT coding expertise, regulatory knowledge, and strong analytical skills, with the ability to manage multiple investigations and collaborate with legal and compliance teams.

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