Senior SIU Investigator

Job Summary

A company is looking for a Senior SIU Investigator to investigate allegations of healthcare fraud and abuse activity.

Key Responsibilities

• Investigate allegations of healthcare fraud and abuse and document findings
• Perform data mining and analysis to detect anomalies in claims
• Prepare detailed reports on investigative findings for referral to regulatory agencies

Required Qualifications

• Bachelor's Degree in Business, Criminal Justice, Healthcare, or related field
• 3+ years of experience in medical claim investigation, audit, or fraud investigation
• Knowledge of medical coding, claims processing, and data mining preferred
• Certified Professional Coder certification preferred