SIU Analyst

This is a fully remote position, open to applicants in Missouri.

📋 Description

• Provide assistance and support to the SIU team, which includes Managers, Clinical Reviewers, CPCs, Investigators, and Analysts, with their daily responsibilities

• Aid in the intake and triage of tasks assigned by clients

• Assist in the examination of patient medical records during investigations of fraud, waste, and abuse

• Support the comparison of medical records with claims information to identify billable services

• Record findings for each claim line in a spreadsheet

• Contribute to the preparation of written reports that summarize findings

• Assist with the abstraction of CPT, HCPCS, Revenue Codes, DRG codes, and ICD-9/ICD-10 from medical records

• Help maintain up-to-date knowledge of coding guidelines and regulations

• Assist with the analysis of client data

• Provide fundamental support in various aspects of fraud, waste, and abuse investigations

• Adhere to and follow company Privacy and Security standards

• Safeguard and respect confidential and sensitive information, including protected health information

• Perform additional duties as assigned

⛳️ Requirements

• Fundamental understanding of medical terminology

• Basic knowledge of coding concepts, such as CPT, HCPCS, and ICD-10

• Basic understanding of specialty medical practices

• Strong attention to detail

• Ability to communicate effectively and clearly, both in writing and verbally

• Good listening abilities

• Capability to work independently as well as collaboratively within a team

• Responsible and self-motivated

• Ability to achieve defined performance and production targets

• Basic computer proficiency

• Discretion in managing and securing information when accessing confidential and sensitive data, including protected health information

• Knowledge of healthcare and a keen interest in medical claims, coding, and investigations are advantageous

• High-speed Internet connection with a minimum of 25mbs download and 5mbs upload; satellite Internet is not permitted

🏝️ Benefits

• Medical, Dental & Vision insurance

• 401(k) retirement savings plan with employer matching

• Paid time off for vacation and sick leave

• 7 paid holidays and 2 floating holidays

• Paid maternity and paternity leave

• Disability and Life insurance

• Flexible Spending Account (FSA)

• Employee Assistance Program (EAP)

• Initiatives for professional and career development

• Eligible for remote work

• High-speed Internet required (minimum 25mbs download and 5mbs upload; satellite is not permitted)