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Siu

AB87

Guru
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213
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:confused:

Has any coder successfully transitioned from coding to do SIU (Fraud Waste and Abuse)? I would like to know how you made the change and what certifications would you need.

Thank You in Advance
 
Last edited:

Pathos

Expert
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Beaverton OR
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I have not personally done the switch to SIU, but I know the requirements of where I work, and of other coders who have done the jump.

Auditing experience is first and foremost in the front seat here. Depending on the employer, generally minimum 3-5 years is the standard I believe.
General coding certification (CPC/CCS) is usually required as well.

As far as a specific SIU certification goes, my best suggestion would be the CPMA. Many SIU folks I know enjoy that certification, and from what I hear it will help prepare you for a career in SIU. While I doubt this is a job requirement, it should be a boon and help set you apart from other applicants.

Hope that helps somewhat.

Best of luck!
 

AB87

Guru
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Thank you for your response. I was also looking at job postings and the fraud/Auditor Certification was the one I saw. The CPMA is good but it will be harder to maintain CEUs
 

jslyon

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I manage a Special Investigations Department currently with 8 certified coders doing prepayment review and assisting with investigations and audits. I have and likely will again hire individuals without a current coding certification but most of the positions require obtaining a certification within 24 months of hiring. I accept AAPC or AHIMA but if I hire someone who will need to work on a certification I support their pursuit of AAPC certification. All of my coders in addition to a corporate AAPC membership have access to the AAPC webinars for their ceus. CPC is the basic certification but like a previous response stated the CPMA is a great addition.

Good luck to you and if you are in Oklahoma I have a position open.
 
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