Coder, Special Investigative Unit jobs in United States
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McLaren Health Care · 20 hours ago

Coder, Special Investigative Unit

positionUnited States
timeFull-time
remoteRemote
seniorityMid, Senior Level
date2+ years exp

McLaren Health Plan is a Managed Care Organization dedicated to meeting the health care needs of each member. They are seeking a SIU Coder to perform medical claims and records reviews, ensuring compliance with coding practices while collaborating with a team of SIU Auditors.

Health CareHospitalMedicalOncologyRehabilitation
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H1B Sponsor Likelynote

Responsibilities

Performing medical claims and records reviews to assist in investigations
Ensuring compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers
Reviewing records and claims as part of the ongoing audits of the SIU department
Serving as the subject matter expert for all coding activities
Collaborating with other departments within McLaren on payment integrity and provider education

Qualification

Certified Medical CoderICD-10-CM codingAMA coding guidelinesHealthcare Business ServicesManaged Care experienceTeam collaborationAttention to detail

Required

Associate's Degree in Health Information Management, Healthcare Business Services, or equivalent program with emphasis in coding or High School diploma with two (2) years of related experience
Certified Medical Coder (CPC, RHIT, or RHIA)
Two (2) years of hands-on experience in ICD-10-CM and AMA diagnostic coding (with a preference for program integrity coding) and ICD-10 and AMA coding guidelines with the ability to interpret complex medical documentation accurately
Two (2) years of coding experience on multiple specialties

Preferred

Five (5) years coding and/or coding and billing experience
Two (2) years' experience assisting with SIU audits
Managed Care experience

Company

McLaren Health Care

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McLaren Health Care is a fully integrated health network committed to quality evidence-based patient care and cost efficiency.
dateFounded in 1914
location
Grand Blanc, Michigan, USA
people-size10001+ employees
web-link
http://www.mclaren.org

H1B Sponsorship

McLaren Health Care has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (3)
2023 (1)
2022 (1)
2021 (4)

Funding

Current Stage
Late Stage
Total Funding
unknown
2021-01-01Acquired

Leadership Team

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Chris Candela
President and Chief Executive Officer McLaren Flint
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Chad Grant
Executive Vice President & Chief Operating Officer
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