ZipRecruiter

Log In

2

Remote Fraud Risk Management Jobs in Saint Louis, MO

Healthcare Fraud Shield

Coding Auditor

Chesterfield, MO · Remote

$27 - $30.75/hr

Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine ... Remote work eligible REMOTE WORK REQUIREMENTS: * Must have high speed Internet (satellite is not ...

Healthcare Fraud Shield

Coding Auditor

Chesterfield, MO · On-site +1

$27 - $30.75/hr

Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine ... Remote work eligible REMOTE WORK REQUIREMENTS: * Must have high speed Internet (satellite is not ...

Healthcare Fraud Shield

Coding Auditor

Chesterfield, MO · Remote

$27 - $30.75/hr

Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine ... Remote work eligible REMOTE WORK REQUIREMENTS: * Must have high speed Internet (satellite is not ...

next page

Showing results 1-20

All JobsFraud Risk Management JobsRemote Fraud Risk Management JobsRemote Fraud Risk Management Jobs in Saint Louis, MO

Remote Fraud Risk Management information

See Saint Louis, MO salary details

$50.1K

$108.5K

$165.3K

How much do remote fraud risk management jobs pay per year?

As of Sep 4, 2026, the average yearly pay for remote fraud risk management in Saint Louis, MO is $108,458.00, according to ZipRecruiter salary data. Most workers in this role earn between $87,500.00 and $125,400.00 per year, depending on experience, location, and employer.

What is remote fraud risk management?

Remote Fraud Risk Management refers to the processes and strategies used to detect, prevent, and respond to fraudulent activities in digital environments, especially when employees and operations are distributed or working remotely. This role involves monitoring transactions, analyzing data for suspicious patterns, and implementing security measures to minimize risks. Professionals in this field work closely with IT, compliance, and legal teams to ensure that systems and data remain secure despite the challenges of remote work. Effective remote fraud risk management is critical for protecting organizations from financial losses and reputational damage.

How does a remote fraud risk management professional typically collaborate with cross-functional teams to mitigate risks?

Remote Fraud Risk Management professionals regularly work alongside departments such as IT, compliance, customer service, and legal to identify and address potential fraud threats. Collaboration often involves virtual meetings, sharing data insights, and developing joint strategies to detect suspicious activity. Effective communication and the ability to explain complex risk scenarios to non-specialists are crucial. This cross-functional teamwork ensures that fraud prevention measures are integrated throughout the organization and that responses to incidents are swift and coordinated.

What are the key skills and qualifications needed to thrive in remote fraud risk management, and why are they important?

To thrive in Remote Fraud Risk Management, you need strong analytical skills, attention to detail, and a background in finance, business, or a related field, often supported by relevant certifications such as CFE (Certified Fraud Examiner). Familiarity with fraud detection software, data analysis tools, and case management systems is typically required. Excellent communication, critical thinking, and problem-solving abilities set top performers apart in this role. These skills and qualities are essential for effectively identifying, preventing, and responding to fraudulent activities in a remote environment.

What is the difference between Remote Fraud Risk Management vs Remote Fraud Analyst?

AspectRemote Fraud Risk ManagementRemote Fraud Analyst
CredentialsCertifications in fraud prevention, risk management, or related fieldsBasic knowledge of fraud detection, often with certifications like ACFE or similar
Work EnvironmentStrategic, policy development, and oversight roles within organizationsOperational, investigative roles focused on analyzing transactions and detecting fraud
Employer & Industry UsageFinancial institutions, e-commerce, and fintech companiesBanking, online retail, and payment processing companies
Search & Comparison IntentUnderstanding strategic risk management roles in fraud preventionOperational roles focused on fraud detection and analysis

Remote Fraud Risk Management involves developing policies and overseeing fraud prevention strategies, while Remote Fraud Analysts focus on analyzing transactions to detect and investigate fraud. Both roles are essential in combating fraud but differ in scope and responsibilities.

What are popular job titles related to Remote Fraud Risk Management jobs in Saint Louis, MO?

For Remote Fraud Risk Management jobs in Saint Louis, MO, the most frequently searched job titles are:

What job categories do people searching Remote Fraud Risk Management jobs in Saint Louis, MO look for?

The top searched job categories for Remote Fraud Risk Management jobs in Saint Louis, MO are:

What cities near Saint Louis, MO are hiring for Remote Fraud Risk Management jobs?

Cities near Saint Louis, MO with the most Remote Fraud Risk Management job openings:

Remote Fraud Risk Management jobs near you

SIU Clinical Investigator

Healthcare Fraud Shield

Chesterfield, MO • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Job 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.
  • 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.
  • 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.
  • 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.

Apply