SIU Investigator II (Must live in Indiana or surrounding states)
CareSource(19 days ago)
About this role
The SIU Investigator II plays a key role in investigating healthcare fraud, waste, and abuse, utilizing data analysis, audits, interviews, and collaboration with various agencies to uncover and prevent misconduct. They manage investigations from inception to resolution, maintain detailed documentation, and liaise with law enforcement and regulatory bodies.
Required Skills
- Data Analysis
- Medical Coding
- Investigation
- Auditing
- Medical Terminology
- Fraud Detection
- Communication
- Legal Coordination
- Research
- Reporting
Qualifications
- Bachelor’s Degree or equivalent experience in Health-Related Field, Law Enforcement, or Insurance
- Certified Fraud Examiner (CFE), Anti-Healthcare Fraud Investigator (AHFI), or Certified Professional Coder (CPC)
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