Special Investigations Unit Medical Reviewer Job at Inland Empire Health Plan, Rancho Cucamonga, CA

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  • Inland Empire Health Plan
  • Rancho Cucamonga, CA

Job Description

What you can expect!

Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience!

Under general supervision, the Special Investigations Unit Medical Reviewer (SIU Medical Reviewer) performs reviews of medical records and healthcare claims to substantiate or refute the accuracy and compliance with federal and state regulations and contractual requirements of codes billed to identify coding errors and billing discrepancies in relation to incidents of suspected healthcare fraud, waste, and abuse (FWA) reported to IEHP's Compliance Special Investigations Unit (SIU).

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.
CalPERS retirement
457(b) option with a contribution match
Generous paid time off- vacation, holidays, sick
State of the art fitness center on-site
Medical Insurance with Dental and Vision
Paid life insurance for employees with additional options
Short-term, and long-term disability options
Pet care insurance
Flexible Spending Account - Health Care/Childcare
Wellness programs that promote a healthy work-life balance
Career advancement opportunities and professional development
Competitive salary with annual merit increase
Team bonus opportunities

Education & Experience
A minimum of two (2) years of experience performing medical reviews of medical records and claims in a healthcare setting
Bachelor's degree in medical billing or medical coding, nursing, healthcare administration, or other related field from an accredited institution required
Certified Professional Coder (CPC) required.

Job Type: Full-time

Pay: $71,572.80 - $93,038.40 per year

Benefits:
401(k)
401(k) matching
457(b)
Dental insurance
Employee assistance program
Flexible schedule
Flexible spending account
Health insurance
Health savings account
Paid time off
Parental leave
Professional development assistance
Referral program
Tuition reimbursement
Vision insurance
Schedule:
8 hour shift
Day shift
Monday to Friday

Application Question(s):
This position requires onsite work in Rancho Cucamonga, Tu-Th with remote flexibility on Mondays and Fridays. Standard business hours are Mon-Fri, 8am - 5pm. Are you fine with this schedule?

Education:
Bachelor's (Preferred)

Experience:
medical rcord review and claims: 2 years (Required)

License/Certification:
certification for coding (CPC, CPMA,CCS) (Required)

Ability to Relocate:
Rancho Cucamonga, CA 91730: Relocate before starting work (Required)

Work Location: Hybrid remote in Rancho Cucamonga, CA 91730

Job Tags

Holiday work, Full time, Temporary work, Relocation, Flexible hours, Shift work, Day shift, Monday to Friday,

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