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Siu Auditor Jobs (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 professional auditing role designed for a certified professional coder. Under direct supervision of Health ...

Healthcare Fraud Shield

Coding Auditor

Chesterfield, MO · Remote

$27 - $30.75/hr

Description The Coding Auditor is a professional auditing role designed for a certified ... Under direct supervision of Healthcare Fraud Shield SIU management, this position executes routine ...

CVS Health

MI · On-site

$43K - $93K/yr

... Special Investigations Unit (SIU) to ensure compliance with coding practices through a ... Prior payor auditing experience * Excellent communication skills * Excellent analytical skills

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$151K

How much do siu auditor jobs pay per year?

As of Aug 19, 2026, the average yearly pay for siu auditor in the United States is $92,797.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,000.00 and $112,000.00 per year, depending on experience, location, and employer.

What is an SIU auditor?

SIU Auditors, or Special Investigations Unit Auditors, are professionals who investigate and review claims, transactions, or activities within organizations to detect and prevent fraud, waste, and abuse. They often work in insurance, healthcare, or financial services, analyzing suspicious claims and ensuring compliance with laws and regulations. SIU Auditors collect evidence, prepare reports, and may work closely with law enforcement or regulatory agencies when necessary. Their work helps protect companies from financial losses and ensures ethical business practices.

What skills and qualifications are needed to be an SIU auditor?

To thrive as an SIU Auditor, you need a strong background in investigative techniques, knowledge of insurance regulations, and a bachelor’s degree in criminal justice, accounting, or a related field. Familiarity with data analysis tools, case management software, and sometimes certifications like CFE (Certified Fraud Examiner) are typically required. Critical thinking, attention to detail, and strong written and verbal communication skills are essential soft skills in this role. These abilities are vital for effectively detecting, investigating, and documenting insurance fraud while ensuring compliance with legal and regulatory standards.

What challenges do SIU auditors face when investigating insurance fraud, and how can they address them?

SIU Auditors often encounter challenges such as incomplete documentation, uncooperative claimants, and distinguishing between legitimate and fraudulent claims. To address these, they rely on strong analytical skills, thorough attention to detail, and effective communication to gather information from various sources. Collaborating with legal teams, claims adjusters, and law enforcement can also help build comprehensive cases and ensure proper resolution. Staying current with industry trends and ongoing training in fraud detection techniques further enhances their effectiveness.

What is the difference between Siu Auditor vs Insurance Auditor?

AspectSiu AuditorInsurance Auditor
Required CredentialsCertifications like CPA, CIA often preferredCertifications such as CPCU, ARM may be advantageous
Work EnvironmentGovernment agencies, corporate compliance teamsInsurance companies, third-party claims departments
Employer & Industry UsageUsed in regulatory and compliance contextsCommon in insurance industry for claims and policy audits
Search & Comparison IntentUnderstanding audit roles in complianceEvaluating insurance-specific audit functions

The Siu Auditor primarily focuses on compliance and regulatory audits within organizations, often in government or corporate settings. In contrast, an Insurance Auditor specializes in reviewing insurance claims, policies, and underwriting processes. While both roles involve auditing skills and certifications, their industries and specific responsibilities differ. Understanding these distinctions helps job seekers identify the right career path based on their credentials and interests.

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What cities are hiring for Siu Auditor jobs?

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What states have the most Siu Auditor jobs?

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What job categories do people searching Siu Auditor jobs look for?

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Siu Auditor jobs near you
Infographic showing various Siu Auditor job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 53% In-person, 5% Hybrid, and 42% Remote job distribution, with an average salary of $92,797 per year, or $44.6 per hour.

Clinical SIU Investigator

Resources Global Professionals

Los Angeles, CA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

About This Role
Our client is seeking an experienced SIU Clinical Investigator / Healthcare Compliance Professional to support a growing Special Investigations Unit (SIU). This role focuses on conducting clinical and compliance reviews of medical records to identify potential fraud, waste, abuse, and billing irregularities. The individual will not maintain a traditional investigation caseload but will serve as a subject matter expert, performing detailed reviews and analyses of complex healthcare claims and documentation.
What You Will Work On
  • Review medical records, claims, and supporting documentation for clinical consistency, completeness, and compliance.
  • Identify potential indicators of fraud, waste, and abuse, including:
  • Cloning of medical documentation
  • Upcoding
  • Billing inconsistencies
  • Unsupported services and procedures
  • Medical necessity concerns
  • Conduct initial reviews and assessments of complex healthcare cases to determine potential compliance risks.
  • Analyze documentation to validate medical necessity and appropriateness of billed services.
  • Collaborate with SIU investigators and leadership to support ongoing investigations.
  • Document findings and provide clear recommendations for further review or action.
  • Stay informed of healthcare regulations, billing guidelines, and industry best practices.

What You Will Bring
  • Experience in healthcare investigations, healthcare compliance, SIU, clinical auditing, utilization review, medical record review, or related healthcare oversight functions.
  • Strong understanding of medical necessity criteria and healthcare documentation standards.
  • Knowledge of healthcare fraud schemes, billing practices, and claims review methodologies.
  • Experience reviewing complex medical records and identifying documentation discrepancies.
  • Ability to analyze clinical information and communicate findings effectively.
  • Clinical background strongly preferred.
  • Experience in healthcare payer, managed care, SIU, fraud investigations, clinical auditing, or healthcare compliance environments is highly desirable.

What You Can Expect
  • An inspirational place for you to do your best work, be engaged in meaningful ways, and continually develop the skills, competencies and qualities that set our team apart.
  • Compensation commensurate with your qualifications, experience, and other factors including geographic location, market and operational factors.
  • Total Rewards include: Medical, Dental, Vision, Life Insurance, Disability Insurance, 401(k) Savings Plan, Employee Stock Purchase Plan, Professional Development Program, Paid Time Off and Paid Sick Time (in geographies where legally required).

What We Do
At RGP, we're creating a future where businesses produce their best work without constraints. We've built a global network of over 2,600 experts across four regions, providing a comprehensive suite of solutions across on-demand talent, next-generation consulting, and outsourced services to support organizations at every stage of their growth journey. Trusted by Fortune 100 companies and emerging disruptors alike, we challenge conventional ways of working, drive growth, and pave the way for long-term success through bold innovation and fearless collaboration.
Our values guide everything we do and strengthen our commitment to people. By combining smart processes, human-centered design, and advanced technology, we celebrate our team's excellence and ensure we grow together. We believe in the power of continuous learning and development to drive both individual and organizational success. It's time to rethink how work gets done. Dare to Work Differently® with RGP.
RGP is proud to be an Equal Opportunity Employer and committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, national origin, gender, pregnancy, sexual orientation, gender identity, age, physical or mental disability, genetic information, veteran status, or any other legally protected trait and encourage all applicants to apply.
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About Resources Global Professionals

Sourced by ZipRecruiter

Resources Global Professionals (RGP) is a multinational professional services firm, headquartered in Irvine, California, United States. Founded in 1996, the firm operates in various industries including finance, technology, healthcare, and retail among others. RGP is recognized for its unique approach to consulting, where they help clients transform their businesses through a combination of human talent, industry knowledge, and experience in problem-solving. The company's mission is "to help clients change their businesses from the inside out."

Industry

Business management consulting

Company size

1,001 - 5,000 Employees

Headquarters location

Irvine, CA, US

Year founded

1996

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