Credit Card Fraud Investigator jobs in Saint Louis, MO

Credit Card Fraud Investigator investigates suspected fraudulent use of credit cards issued by the organization. Interviews individuals involved and coordinates investigations with law enforcement personnel. Being a Credit Card Fraud Investigator analyzes loss trends and makes recommendations to prevent further loss. Requires a bachelor's degree. Additionally, Credit Card Fraud Investigator typically reports to a supervisor or manager. The Credit Card Fraud Investigator gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Credit Card Fraud Investigator typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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SIU Investigator
  • Healthcare Fraud Shield
  • Chesterfield, MO FULL_TIME
  • Healthcare Fraud Shield, a leader in healthcare fraud prevention and payment integrity solutions, is looking for a talented Coder or Clinical Coder/Fraud Investigator to join our team.

     

    RESPONSIBILITIES

    • Work with SIU Team (Clinical Reviewers, CPCs, Investigators, Analysts-including performing quality check on work, assisting in research, discuss to make appropriate coding determinations as needed)
    • Analyze and interpret patient medical records (behavioral related and other specialties) pertaining to FWA investigations as needed
    • Compare to information submitted on the claims in order to determine amount and nature of billable services as needed
    • Determines appropriateness of billing and reimbursement as needed
    • Documents findings for each claim line in a spreadsheet as needed
    • Summarize findings in a written report as needed
    • Abstracts CPT, HCPCS, Revenue Codes, DRG codes, and ICD-9/ICD-10 from medical records as needed
    • Responsible for maintaining current knowledge of coding guidelines and relevant federal and/or state regulations as needed
    • Perform data analysis and lead generation/data mining of client data as needed
    • Conduct various aspects of FWA investigations as needed
    • Provide Subject Matter Expertise and SIU support to clients as needed
    • Comply with Privacy and Security standards
    • Understands and complies with all company Privacy and Security standards
    • Employee may not use or disclose any protected health information, except as otherwise permitted, or required, by law
    • Other duties as needed

     

    KNOWLEDGE, SKILLS, & ABILITIES

    • Knowledge of medical terminology
    • Knowledge of coding including CPT, HCPCS, Revenue Codes, DRG Codes, and ICD-10
    • Knowledge of specialty medical practices
    • Must be detail oriented
    • Ability to communicate effectively both verbally and in writing
    • Strong listening skills
    • Independent
    • Responsible
    • Self-disciplined
    • Ability to meet defined performance and production goals
    • Strong computer skills
    • This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management

     

     

    CERTIFICATE/LICENSE

    • Certified Professional Coder - (CPC®) through governing body AAPC or equivalent certification
    • Minimum of one year of coding and/or billing experience is required.

     

     

    BENEFITS

    • Medical, Dental & Vision insurance
    • 401(k) retirement savings with employer match
    • Vacation and sick paid time off
    • 8 paid holidays
    • Paid maternity/paternity leave
    • Disability & Life insurance
    • Flexible Spending Account (FSA)
    • Employee Assistance Program (EAP)
    • Professional and career development initiatives
    • Remote work eligible

     

     

    REMOTE WORK REQUIREMENTS

    • Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload.

     

    Healthcare Fraud Shield is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

  • 1 Month Ago

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Fraud /Financial Investigator
  • Ardelle Associates
  • St. Louis, MO PART_TIME,CONTRACTOR
  • This is a part time position-22 hours per weekArdelle Associates is seeking an Investigator with experience in law enforcement investigations to support the prosecution of health care fraud related to...
  • 3 Days Ago

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Health Care Fraud Analyst/Investigator
  • SGI Global, LLC
  • St. Louis, MO PART_TIME
  • SGI Global is seeking a Health Care Fraud Analyst/Investigator to support the United States Attorneys' Office, Eastern District of Missouri. The position is based in St. Louis, Missouri Responsibiliti...
  • 3 Days Ago

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Card Services Specialist
  • Alltru Credit Union
  • Wentzville, MO FULL_TIME
  • Alltru Credit Union, a Certified Great Place To Work isn’t just another job. It’s a career with a cause! Our employees are a driving force in helping people achieve their financial dreams! And we’re g...
  • 4 Days Ago

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Card Services Manager
  • Scott Credit Union
  • Edwardsville, IL FULL_TIME
  • Scott Credit Union is looking to hire a full-time Card Services Manager to join our amazing Card Services team. This position will be Monday thru Friday normal business hours with the opportunity to w...
  • 17 Days Ago

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Technology Innovations Engineer
  • Healthcare Fraud Shield
  • Chesterfield, MO FULL_TIME
  • Job Position: Technology Innovations Engineer The Technology Innovations Engineer position will play a pivotal role in shaping the future of our products and services. Working under the guidance of th...
  • 13 Days Ago

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0 Credit Card Fraud Investigator jobs found in Saint Louis, MO area

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Transit Revenue Analyst
  • Bi-State Development
  • Saint Louis, MO
  • Job Description Job Description Transit Revenue Analyst Full-time employment opportunity with a dynamic and multi-facete...
  • 3/28/2024 12:00:00 AM

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Revenue Analyst
  • Above All Personnel
  • Saint Louis, MO
  • Job Description Job Description Responsibilities: Work with the financial accounting team to address revenue reporting d...
  • 3/28/2024 12:00:00 AM

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Accounts Payable Analyst
  • Spectrum
  • Saint Louis, MO
  • Job Description If you have an interest in technology and a desire to bring innovation to Corporate Finance, joining Spe...
  • 3/28/2024 12:00:00 AM

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Accounts Payable Specialist
  • Spectrum
  • Saint Louis, MO
  • Job Description If you have an interest in technology and a desire to bring innovation to Corporate Finance, joining Spe...
  • 3/28/2024 12:00:00 AM

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Treasury Staff Accountant
  • CCA Global Partners
  • Saint Louis, MO
  • Job Description Job Description Main Street versus Wall Street…CCA Global Partners connects independent, family business...
  • 3/25/2024 12:00:00 AM

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Accounts Payable / Accounts Receivable Admin
  • Concero
  • Bridgeton, MO
  • Company Description Our client is a design-build construction company that takes pride in guiding project owners from co...
  • 3/25/2024 12:00:00 AM

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Senior Manager, Tax
  • UHY LLP
  • Saint Louis, MO
  • Position Summary: The Senior Manager has mastered the skills and requirements of the manager role and has been identifie...
  • 3/24/2024 12:00:00 AM

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High Net Worth Service Associate - Greater St. Louis, MO Area
  • Fidelity Investments
  • Saint Louis, MO
  • Job Description: High Net Worth Representative We have an exciting opportunity for a remote, licensed High Net Worth Ser...
  • 2/27/2024 12:00:00 AM

St. Louis (/seɪnt ˈluːɪs/) is an independent city and major inland port in the U.S. state of Missouri. It is situated along the western bank of the Mississippi River, which marks Missouri's border with Illinois. The Missouri River merges with the Mississippi River just north of the city. These two rivers combined form the fourth longest river system in the world. The city had an estimated 2017 population of 308,626 and is the cultural and economic center of the St. Louis metropolitan area (home to nearly 3,000,000 people), which is the largest metropolitan area in Missouri, the second-largest ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credit Card Fraud Investigator jobs
$33,906 to $48,646
Saint Louis, Missouri area prices
were up 0.7% from a year ago