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Open nowFirst seen 22 hours ago

SIU Analyst

Healthcare Fraud Shield3 open roles

Where
Chesterfield, Missouri, Remote
Work mode
Remote
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Your applicationOpen nowSIU AnalystHealthcare Fraud Shield · Chesterfield, Missouri, Remote

  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on Healthcare Fraud Shield's own form.

The reply lands in your private mailbox

3×more interviews than doing it yourself with ChatGPT.

The clock on this job

Early applications get read.

12.3% of postings close within 7 days. Measured by our own scanner across the market.

Share of postings closed within
  1. 2.1%1 day
  2. 4.5%3 days
  3. 12.3%7 days
  4. 19.3%14 days
  5. 35.6%30 days
  6. 58.1%60 days
This job: first seen 22 hours ago

The posting

Healthcare Fraud Shield, a leader in healthcare fraud prevention and payment integrity solutions, is looking for a talented SIU Analyst to join our team.

Key Responsibilities

  • Assist and support the SIU team (Managers, Clinical Reviewers, CPCs, Investigators, and Analysts) with daily tasks.
  • Help with the intake and triage of client-assigned tasks.
  • Assist in the analysis of patient medical records for FWA investigations.
  • Support the comparison of medical records to claim information to determine billable services.
  • Help with documenting findings for each claim line in a spreadsheet.
  • Contribute to summarizing findings in a written report.
  • Assist with abstracting CPT, HCPCS, Revenue Codes, DRG codes, and ICD-9/ICD-10 from medical records.
  • Support the team in maintaining current knowledge of coding guidelines and regulations.
  • Assist with data analysis of client data.
  • Provide basic support for various aspects of FWA investigations.
  • Comply with all company Privacy and Security standards.
  • Understand and follow all company Privacy and Security standards.
  • Respect and protect confidential and sensitive information, including protected health information.
  • Perform other duties as assigned.

Skills, Knowledge and Expertise

  • Basic knowledge of medical terminology.
  • Basic knowledge of coding concepts, including CPT, HCPCS, and ICD-10.
  • Basic knowledge of specialty medical practices.
  • Attention to detail.
  • Ability to communicate clearly and effectively, both verbally and in writing.
  • Good listening skills.
  • Ability to work both independently and as part of a team.
  • Responsible and self-disciplined.
  • Ability to meet defined performance and production goals.
  • Basic computer skills.
  • This job requires access to confidential and sensitive information, which means discretion and secure information management are essential.

Certificate/License:

  • No specific investigative experience is required, but healthcare knowledge and a strong interest in medical claims, coding, and investigations is a plus.

Benefits

  • Medical, Dental & Vision insurance
  • 401(k) retirement savings with employer match
  • Vacation and sick paid time off
  • 7 paid holidays & 2 floating 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.

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  1. A CV for this posting

    Written against Healthcare Fraud Shield's own wording, from every piece of relevant proof in your profile.

  2. 25 readers review it

    Recruiter, hiring manager, skeptic and more read every draft, round after round. You get the best round.

    The review screen in CV Rocket: how each CV was read, round by round.

  3. We apply on Healthcare Fraud Shield's form

    Our application engine gets through the hardest forms there are. Where a question needs you, AI suggests the best answer. Don't want us applying from our IP addresses? Use our Chrome extension: we apply straight from your own browser.

    An application in CV Rocket: every answer filled in on the employer's form.

  4. Every reply, sorted

    Healthcare Fraud Shield's answer lands in your private mailbox, and we classify it on arrival: interview, question, rejection.

    The CV Rocket inbox: each employer reply classified as an interview, an action or a rejection.

  5. Reply with AI

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  6. The interview in your calendar

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    An interview invitation in the CV Rocket inbox, added to the candidate's calendar.
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