SIU Analyst

Key Responsibilities

• Assist and support the SIU team (Managers, Clinical Reviewers, CPCs, Investigators, and Analysts) with daily tasks.
• Help with the intake and triage of client-assigned tasks.
• Assist in the analysis of patient medical records for FWA investigations.
• Support the comparison of medical records to claim information to determine billable services.
• Help with documenting findings for each claim line in a spreadsheet.
• Contribute to summarizing findings in a written report.
• Assist with abstracting CPT, HCPCS, Revenue Codes, DRG codes, and ICD-9/ICD-10 from medical records.
• Support the team in maintaining current knowledge of coding guidelines and regulations.
• Assist with data analysis of client data.
• Provide basic support for various aspects of FWA investigations.
• Comply with all company Privacy and Security standards.
• Understand and follow all company Privacy and Security standards.
• Respect and protect confidential and sensitive information, including protected health information.
• Perform other duties as assigned.

Skills, Knowledge and Expertise

• 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.
• This job requires access to confidential and sensitive information, which means discretion and secure information management are essential.

• No specific investigative experience is required, but healthcare knowledge and a strong interest in medical claims, coding, and investigations is a plus.

Benefits

• 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

• Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload.