Kentucky Licensed Senior SIU Investigator

A company is looking for a Senior SIU Investigator to investigate allegations of healthcare fraud and abuse activity. Key Responsibilities Investigate possible waste, abuse, and fraud leads and document activity Perform data mining and analysis to detect aberrancies and outliers in claims Prepare summary and detailed reports on investigative findings for referral to Federal and State agencies Required Qualifications Bachelor's Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent experience 3+ years of experience in medical claim investigation, audit, analysis, or fraud investigation Knowledge of Microsoft Applications, medical coding, claims processing, and data mining preferred Certified Professional Coder certification preferred