- 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
- 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
- One of the following licenses preferred
- Possession of an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians
- Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN
- Strong verbal and written communication, interpersonal skills, critical problem-solving skills, and attention to detail
- Above average proficiency in the use of technology applications, particularly Excel, Word, and others as necessary
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Inland Empire Health Plan Rancho Cucamonga, United States**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 ...
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Medical Record Reviewers
2 weeks ago
Inland Empire Health Plan Rancho Cucamonga, CA, United States Full time*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 (SI ...
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Special Investigations Unit Medical Reviewer
1 week ago
Inland Empire Health Plan Rancho Cucamonga, United StatesWhat 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 Me ...
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Special Investigations Unit Medical Reviewer
2 weeks ago
Inland Empire Health Plan Rancho Cucamonga, United StatesJob 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 Medica ...
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Special Investigations Unit Medical Reviewer
6 days ago
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IEHP Rancho Cucamonga, United StatesWhat 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 minimal supervision, the Senior Special Investigations Unit Medical Reviewer ( ...
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Inland Empire Health Plan Rancho Cucamonga, United StatesWhat 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 minimal supervision, the Senior Special Investigations Unit Medical Reviewer ...
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Inland Empire Health Plan Rancho Cucamonga, United StatesWhat 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 minimal supervision, the Senior Special Investigations Unit Medical Reviewe ...
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Inland Empire Health Plan Rancho Cucamonga, United StatesOverview: · 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 minimal supervision, the Senior Special Investigations Unit Medica ...
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Coordinator - Itc
2 weeks ago
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Coordinator - Itc
2 weeks ago
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Integrated Transitional Care Nurse, Lvn
1 week ago
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Integrated Transitional Care Nurse, Lvn
1 week ago
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Medical Billing and Coding Specialist
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Medical Biller
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Chiropractor - Rancho Cucamonga, Ca
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Plumbing Purchasing Clerk
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Claims Assistant
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Athletic Eligibility Specialist
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Recruiter
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Sumitomo Rubber North America Inc Rancho Cucamonga, United StatesWe are looking for a recruiter to make a direct impact on SRNA culture and impact people's career. Big picture you'll play a key role in building and shaping our team, researching, developing, and implementing effective recruiting and staffing strategies to attract and hire the b ...
Special Investigations Unit Medical Reviewer - Rancho Cucamonga, United States - IEHP
Description
What you can expectFind 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).
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.
