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Insurance Siu Jobs in Missouri (NOW HIRING)

Healthcare Fraud Shield

Coding Auditor

Chesterfield, MO · On-site +1

$27 - $30.75/hr

SIU Employment Type: Full Time Location: Headquarters Description The Coding Auditor is a ... Medical, Dental & Vision insurance * 401(k) retirement savings with employer match * Vacation and ...

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How much do insurance siu jobs pay per year?

As of Aug 30, 2026, the average yearly pay for insurance siu in Missouri is $70,050.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,000.00 and $93,800.00 per year, depending on experience, location, and employer.

What is an insurance SIU?

An Insurance SIU (Special Investigations Unit) job involves investigating potentially fraudulent insurance claims to prevent financial losses for the company. SIU investigators analyze claims, review evidence, interview witnesses, and collaborate with law enforcement when necessary. Their goal is to detect fraud schemes such as staged accidents, false injury claims, or exaggerations of damages. These professionals must have investigative skills, knowledge of insurance regulations, and sometimes a background in law enforcement or claims adjusting.

What does an insurance SIU investigator do?

Insurance SIU Investigators spend their days reviewing claims flagged for potential fraud, conducting interviews with claimants and witnesses, collecting and analyzing evidence, and preparing detailed investigative reports. They often collaborate closely with claims adjusters, legal teams, and occasionally law enforcement agencies to ensure thorough case handling. Investigators may conduct fieldwork, including site visits or surveillance, as part of gathering information for their cases. This dynamic role balances office work with investigative activities, requiring strong time management and adaptability to shifting priorities.

What are the key skills and qualifications needed for an insurance SIU position?

To excel as an Insurance SIU (Special Investigations Unit) Investigator, you need a solid background in insurance practices, fraud detection methodologies, and investigative techniques, often supported by a relevant degree or law enforcement experience. Familiarity with case management software, data analysis tools, and certifications such as the Certified Fraud Examiner (CFE) designation are highly beneficial. Outstanding analytical thinking, attention to detail, and effective communication skills set top performers apart in this field. These abilities are crucial for identifying fraudulent activities, compiling strong cases, and ensuring the integrity of insurance operations.

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For Insurance Siu jobs in Missouri, the most frequently searched job titles are:

What job categories do people searching Insurance Siu jobs in Missouri look for?

The top searched job categories for Insurance Siu jobs in Missouri are:

What cities in Missouri are hiring for Insurance Siu jobs?

Cities in Missouri with the most Insurance Siu job openings:

Insurance Siu jobs near you
Infographic showing various Insurance Siu job openings in Missouri as of August 2026, with employment types broken down into 95% Full Time, and 5% Part Time. Highlights an 58% In-person, 4% Hybrid, and 38% Remote job distribution, with an average salary of $70,050 per year, or $33.7 per hour.

SIU Clinical Investigator

Chesterfield, MO • On-site, Remote

Healthcare Fraud Shield
Software Development • 11 - 50 employees
Learn more about Healthcare Fraud Shieldexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Job description

SIU Clinical Investigator
Department: SIU
Employment Type: Full Time
Location: Headquarters
Description
Healthcare Fraud Shield, a leader in healthcare fraud prevention and payment integrity solutions, is looking for a talented Clinical Coder/Fraud Investigator to join our team.
Key Responsibilities
  • Work with SIU Team (Clinical Reviewers, CPCs, Investigators, Analysts-including performing quality check on work, assisting in research, discuss to make appropriate coding determinations as needed).
  • Analyze and interpret patient medical records pertaining to FWA investigations as needed.
  • Compare information submitted on the claims to determine the amount and nature of billable services as needed.
  • Determines appropriateness of billing and reimbursement as needed.
  • Documents findings for each claim line in a spreadsheet as needed.
  • Summarize findings in a written report as needed.
  • Abstracts CPT, HCPCS, Revenue Codes, DRG codes, and ICD-9/ICD-10 from medical records as needed.
  • Responsible for maintaining current knowledge of coding guidelines and relevant federal and/or state regulations as needed.
  • Perform data analysis of client data as needed.
  • Conduct various aspects of FWA investigations as needed.
  • Provide Subject Matter Expertise and SIU support to clients as needed.
  • Comply with Privacy and Security standards.
  • Understands and complies with all company Privacy and Security standards.
  • Employee may not use or disclose any protected health information, except as otherwise permitted, or required, by law.
  • Other duties as needed.

Skills, Knowledge and Expertise
  • Knowledge of medical terminology.
  • Knowledge of coding including CPT, HCPCS, Revenue Codes, DRG Codes, and ICD-10.
  • Knowledge of specialty medical practices.
  • Must be detail-oriented.
  • Ability to communicate effectively both verbally and in writing.
  • Strong listening skills.
  • Independent.
  • Responsible.
  • Self-disciplined.
  • Ability to meet defined performance and production goals.
  • Strong computer skills.
  • This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.

Certificate/License:
  • Certified Professional Coder - (CPC®) through governing body AAPC.
  • Minimum of one year of coding and/or billing experience is required.

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

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

Healthcare Fraud Shield is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

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