South Carolina Licensed SIU Investigator

A company is looking for a SIU Investigator to investigate allegations of potential healthcare fraud and abuse activity. Key Responsibilities Conduct investigations of potential waste, abuse, and fraud Document activity on each case and refer issues to the appropriate party Perform data mining and analysis to detect aberrancies and outliers in claims Required Qualifications Bachelor's Degree in Business, Criminal Justice, Healthcare, or related field, or equivalent experience 1+ years of experience in medical claim investigation, audit, analysis, or fraud investigation Knowledge of Microsoft Applications, medical coding, and terminology preferred Must reside within the state of South Carolina

Mar 18, 2025 - 18:09

A company is looking for a SIU Investigator to investigate allegations of potential healthcare fraud and abuse activity. Key Responsibilities Conduct investigations of potential waste, abuse, and fraud Document activity on each case and refer issues to the appropriate party Perform data mining and analysis to detect aberrancies and outliers in claims Required Qualifications Bachelor's Degree in Business, Criminal Justice, Healthcare, or related field, or equivalent experience 1+ years of experience in medical claim investigation, audit, analysis, or fraud investigation Knowledge of Microsoft Applications, medical coding, and terminology preferred Must reside within the state of South Carolina