Medical Claims Fraud Investigator – SIU Coding
Job in
Schenectady, Schenectady County, New York, 12301, USA
Listed on 2026-09-08
Listing for:
Molina Healthcare
Full Time
position Listed on 2026-09-08
Job specializations:
-
Healthcare
Medical Billing and Coding, Healthcare Administration
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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