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Fraud Examiner Jobs in Silver Spring, MD (NOW HIRING)

Serco USA

Sr. Manager Fraud Prevention

Herndon, VA · On-site

Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified Insurance Fraud Investigator (CIFI), Certified Internal Auditor (CIA), or similar relevant certifications

Parsons

Polygraph Examiner

Springfield, VA · On-site

$125K - $225K/yr

In this role you will get to Conduct polygraph examinations (counterintelligence scope polygraph ... To learn more about recruitment fraud and how to report it, please refer to

United Bank

Deputy BSA Officer

Bethesda, MD · On-site

$120 - $170/hr

Certified Fraud Examiner (CFE) or other Financial Crimes / Risk Related Professional Certification. KEY COMPETENCIES: * Working knowledge of federal and state anti-money laundering compliance ...

State of Maryland

GED Examiner *REPOST*

Baltimore, MD · On-site

$25.30/hr

... and/or fraud. Any unpaid debt may have an impact on whether or not a candidate is offered ... EXAMINATION PROCESS The assessment may consist of a rating of your education, training, and ...

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All JobsFraud Examiner JobsFraud Examiner Jobs in Silver Spring, MD

Fraud Examiner information

See Silver Spring, MD salary details

$145.8K

$152.2K

$157.1K

How much do fraud examiner jobs pay per year?

As of Aug 19, 2026, the average yearly pay for fraud examiner in Silver Spring, MD is $152,176.00, according to ZipRecruiter salary data. Most workers in this role earn between $149,400.00 and $155,100.00 per year, depending on experience, location, and employer.

What is a fraud examiner?

A fraud examiner assesses cases to determine if there is fraudulent activity in a variety of industries. As a fraud examiner, your responsibilities may include conducting research about an individual or company, acquiring and reviewing financial records or insurance claims, or examining tax statements. You may work in the insurance industry, as an accountant, or another more specialized field. These jobs can be found in-house for companies or with third-party fraud investigation firms who hire expert consultants.

What does a fraud examiner do?

A Fraud Examiner is a professional who investigates allegations of fraud within organizations or industries. Their responsibilities include collecting and analyzing evidence, interviewing witnesses and suspects, preparing reports, and testifying in court if necessary. They work to identify fraudulent activities, prevent future incidents, and recommend improvements to internal controls. Fraud Examiners often collaborate with law enforcement, auditors, and legal teams to resolve cases efficiently. Their work is crucial in protecting organizations from financial and reputational harm caused by fraud.

What are the key skills and qualifications needed to thrive as a fraud examiner, and why are they important?

To thrive as a Fraud Examiner, you need a strong background in accounting, investigative techniques, and analytical skills, often supported by a degree in finance or criminal justice and professional certifications like CFE (Certified Fraud Examiner). Familiarity with forensic accounting software, data analysis tools, and case management systems is typically required. Attention to detail, integrity, and effective communication are vital soft skills for uncovering fraud and presenting findings. These abilities ensure accurate detection, thorough investigation, and clear reporting of fraudulent activities to protect organizations from financial loss.

What are some common challenges faced by fraud examiners in their daily work?

Fraud Examiners often deal with complex cases that require thorough analysis and attention to detail, which can be time-consuming and mentally demanding. They may encounter resistance or lack of cooperation from individuals under investigation, making evidence gathering more difficult. Balancing multiple cases at once and staying up-to-date with evolving fraud schemes and regulatory requirements are also frequent challenges. However, collaboration with legal teams, law enforcement, and internal departments helps navigate these obstacles and ensures effective fraud detection and prevention.

What is the difference between Fraud Examiner vs Forensic Accountant?

AspectFraud ExaminerForensic Accountant
Required CredentialsCertifications like CFE (Certified Fraud Examiner)Certifications like CPA, CFF (Certified in Financial Forensics)
Work EnvironmentInvestigations, audits, law enforcement settingsLegal proceedings, litigation support, detailed financial analysis
Employer & Industry UsageFinancial institutions, corporations, law enforcementLaw firms, courts, consulting firms

Fraud Examiners focus on detecting and investigating fraud cases, often working with law enforcement, while Forensic Accountants analyze financial data for legal cases, providing expert testimony. Both roles require similar certifications and work in related environments, but their primary focus and application differ.

More about Fraud Examiner jobs

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For Fraud Examiner jobs in Silver Spring, MD, the most frequently searched job titles are:

What job categories do people searching Fraud Examiner jobs in Silver Spring, MD look for?

The top searched job categories for Fraud Examiner jobs in Silver Spring, MD are:

What cities near Silver Spring, MD are hiring for Fraud Examiner jobs?

Cities near Silver Spring, MD with the most Fraud Examiner job openings:

Fraud Examiner jobs near you
Infographic showing various Fraud Examiner job openings in Silver Spring, MD as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 14% Part Time, and 1% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $152,176 per year, or $73.2 per hour.

Fraud, Waste, and Abuse (FWA) Medical Record Reviewer

Elite Technical

Elkridge, MD • On-site

Other

Posted 2 days ago

New

Job description

Fraud, Waste, and Abuse (FWA) Medical Record Reviewer

Elite Technical is seeking a Fraud, Waste, and Abuse (FWA) Medical Record Reviewer! We are seeking an experienced healthcare fraud investigator and medical record reviewer with expertise in analyzing medical documentation, claims data, provider billing patterns, and regulatory compliance requirements. Skilled in identifying potential fraud, waste, and abuse indicators through detailed record review, coding validation, and investigative research. Knowledgeable in Medicare, Medicaid, HIPAA, CPT, HCPCS, and ICD-10 guidelines, with strong analytical and case documentation abilities.

<>Required Skills

Education:
- Bachelor''s degree in:
* Health Information Management
* Nursing
* Healthcare Administration
* Medical Coding
* Criminal Justice
* Public Health
* Related healthcare field
- Experience
* 2-5+ years reviewing medical records, claims, or healthcare documentation. Experience in:
* Fraud, Waste, and Abuse investigations
* Medicare and Medicaid programs
* Claims auditing
* Utilization review
* Clinical documentation review
* SIU (Special Investigations Unit) operations
- Knowledge Requirements
* Medical terminology, anatomy, and physiology.
* CPT, HCPCS, and ICD-10 coding systems.
* Medicare, Medicaid, and commercial insurance regulations.
* Healthcare compliance requirements (HIPAA, OIG guidelines, CMS regulations).
* Documentation standards for healthcare providers.
- Technical Skills
* Electronic Medical Records (EMR/EHR) systems.
* Claims processing systems.
* Microsoft Office (Excel, Word, Outlook).
* Data analysis and reporting tools.
* Ability to identify documentation inconsistencies and billing irregularities.
- Certifications (Often Preferred)
* Certified Professional Coder (CPC)
* Certified Coding Specialist (CCS)
* Registered Health Information Technician (RHIT)
* Registered Health Information Administrator (RHIA)
* Certified Fraud Examiner (CFE)
* Accredited Healthcare Fraud Investigator (AHFI)
* Certified Professional Medical Auditor (CPMA)
- Key Competencies
* Strong analytical and critical-thinking skills.
* Attention to detail.
* Investigative mindset.
* Ability to interpret complex medical documentation.
* Report writing and case documentation skills.
* Knowledge of healthcare fraud schemes and abuse indicators.

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