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SIU Analyst
Healthcare Fraud Shield. Assist and support the SIU team, including Managers, Clinical Reviewers, CPCs, Investigators, and Analysts, with daily tasks .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in medical coding concepts, including CPT, HCPCS, and ICD-10, while supporting fraud, waste, and abuse investigations through detailed analysis of medical records and claims. Maintains confidentiality and adheres to privacy standards in handling sensitive health information.
Highest-signal resume keywords
Medical Terminology KnowledgeCPT CodingHCPCS CodingICD-10 CodingAttention To Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Record AnalysisData DocumentationClaim ComparisonCoding Guidelines KnowledgeClient Data Analysis
Soft Skills
Effective CommunicationGood Listening SkillsTeam CollaborationSelf-DisciplineResponsibility
Tools & Technologies
Spreadsheet SoftwareHigh-Speed Internet
Industry Keywords
Fraud InvestigationsWaste ManagementAbuse PreventionHealthcare KnowledgeProtected Health Information
About the role
Key responsibilities & impact- Assist and support the SIU team, including Managers, Clinical Reviewers, CPCs, Investigators, and Analysts, with daily tasks
- Help with intake and triage of client-assigned tasks
- Assist in analyzing patient medical records for fraud, waste, and abuse investigations
- Support comparison of medical records with claim information to determine billable services
- Document findings for each claim line in a spreadsheet
- Contribute to written reports summarizing findings
- Assist with abstracting CPT, HCPCS, Revenue Codes, DRG codes, and ICD-9/ICD-10 from medical records
- Support maintaining current knowledge of coding guidelines and regulations
- Assist with client data analysis
- Provide basic support for various aspects of fraud, waste, and abuse investigations
- Comply with and follow company Privacy and Security standards
- Respect and protect confidential and sensitive information, including protected health information
- Perform other duties as assigned
Requirements
What you’ll need- 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
- Discretion and secure information management when accessing confidential and sensitive information, including protected health information
- Healthcare knowledge and a strong interest in medical claims, coding, and investigations are a plus
- High-speed Internet with minimum 25mbs download and 5mbs upload; satellite Internet is not allowed
Benefits
Comp & perks- 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
- High-speed Internet required (minimum 25mbs download and 5mbs upload; satellite is not allowed)