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Remote Siu Analyst Jobs in Missouri (NOW HIRING)

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Remote Siu Analyst information

What is a Remote SIU Analyst?

A Remote SIU Analyst is a professional who investigates potential insurance fraud and suspicious claims for an insurance company, working remotely rather than in a traditional office setting. SIU stands for Special Investigations Unit, which focuses on identifying and preventing fraudulent activities. Remote SIU Analysts review claims, analyze data, conduct interviews, and collaborate with other investigators or law enforcement as needed. Their goal is to ensure claims are legitimate and to protect the company from financial losses due to fraud. This role typically requires strong analytical, communication, and investigative skills, as well as knowledge of insurance regulations.

What are the key skills and qualifications needed to thrive as a Remote SIU Analyst?

To excel as a Remote SIU Analyst, you typically need strong analytical abilities, investigative experience, and a background in insurance, finance, or criminal justice, often supported by a relevant degree. Familiarity with fraud detection software, case management systems, and databases such as LexisNexis or ISO ClaimSearch is essential. Excellent written communication, attention to detail, and the ability to work independently are standout soft skills for this role. These skills and qualifications are critical for effectively identifying, investigating, and mitigating fraudulent activities in a remote setting.

How do Remote SIU Analysts typically collaborate with other departments while conducting investigations?

Remote SIU (Special Investigations Unit) Analysts frequently work with claims adjusters, legal teams, and law enforcement agencies to gather information and assess potential fraud cases. Collaboration is primarily managed through secure digital communication tools, regular video meetings, and shared documentation platforms to ensure timely information exchange. Building strong virtual relationships and maintaining clear, organized records are key to effectively working with cross-functional teams in a remote environment.

What is the difference between Remote Siu Analyst vs Remote Fraud Analyst?

AspectRemote Siu AnalystRemote Fraud Analyst
CredentialsCertifications like CISA, CIA, or similarCertifications such as CFE, ACFE, or similar
Work EnvironmentFinancial, insurance, or healthcare sectorsFinancial services, banking, or retail sectors
Employer UsageInsurance companies, healthcare providers, financial institutionsBanks, credit card companies, retail businesses
Job FocusAssessing internal controls, compliance, and risk managementDetecting, investigating, and preventing fraud

While both roles involve risk assessment and require analytical skills, a Remote Siu Analyst primarily focuses on internal controls and compliance within organizations, whereas a Remote Fraud Analyst concentrates on identifying and preventing fraudulent activities. The certifications and work environments overlap but serve different core functions in risk management.

What are popular job titles related to Remote Siu Analyst jobs in Missouri?

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

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

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

What cities in Missouri are hiring for Remote Siu Analyst jobs?

Cities in Missouri with the most Remote Siu Analyst job openings:

Remote Siu Analyst jobs near you
Infographic showing various Remote Siu Analyst job openings in Missouri as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

SIU Clinical Investigator

Healthcare Fraud Shield

Chesterfield, MO • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 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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