MACC Workforce Connection

Login Button
Login

Find a Job Button
Find a Job

Training Button
Training

Events Button
Events

Career Resources button
Career Resources

Labor Market Information Button
Labor Market Information

Public Information Button
Public Information

tab Search For Jobs
tab Search For Employers
   
 Magnifying Glass IconJob Order Details
  

information icon This position is no longer available.
Please review the job specific details below
 
 
Job TitleInvestigative Intake Coordinator
OccupationObtain evidence, take statements, produce reports, and testify to findings regarding resolution of fraud allegations. May coordinate fraud detection and prevention activities.
Job Order NumberWV5971339
Post Date04/18/2024
Job LocationWheeling,West Virginia 26003-2704
CountyOhio
Job Summary

The SIU Investigative Intake Coordinator (IIC) is part of a team focused on the prevention, detection, investigation, and reporting of healthcare fraud, waste, and abuse FWA, program integrity initiatives, and the recovery of overpayments in a multi-payer environment. The IIC provides critical support services to the unit, by coordinating various functions prior to and during the investigative process which facilitates efficiency of, and ultimately better outcomes for the investigations. The IIC acts as the SIU's Law Enforcement Liaison, utilizing outstanding organizational skills in fulfilling all data requests and analytics for the WV MFCU, the WVOIC, the ODI, the USAO, and other law enforcement or regulatory entities. The IIC is also responsible for screening and triaging incoming complaints and preparing cases for investigator review, statistical tracking, and preparation of internal reporting for other THP Depts. Required: -Associates Degree in any field OR at least 2 years of relevant experience such as: SIU, healthcare fraud investigation, medical claim investigation, healthcare program integrity, data mining or analytics, healthcare claims payment processing, clinical experience, compliance, or certification as AHFI, CPC/CCP/CCS/CMC or CFE. - Proficiency in Microsoft programs. -Strong organizational skills. - Detail Oriented. - Effective oral and written communication skills. - Ability to plan and execute projects independently and meet tight deadlines. -Ability to prioritize tasks. - Holds a Certified Medical Coder certification. Responsibilities: - Entering cases into the case management and tracking system and Analyzing healthcare claims data. - Identify and recommend process improvements to reduce FWA. -Others as determined by supervisor.

Salary $.00 / Competitive Salary
Pay On CommissionNo
Experience2Years
Educational DegreeHigh School Graduate
License/Certification RequiredN/A
Tools RequiredNo
Foreign Language SkillsN/A
Testing RequiredN/A
Minimum TypingN/A
Minimum Data Entry SpeedN/A
Hours Per Week40
Duration151+Days
Requires Evening WorkNo
Requires Weekend WorkNo
SummerNo
ShiftDay
Is Public Transportation available to job site?No

  
 button New Search 
 

   Privacy Notice  |     Contact Us

WorkForce West Virginia
All Rights Reserved All Contents of this Site Copyright © 2004 - 2024
VWFWVWEB01
A Proud Partner of the American Job Center Network