Clinical SIU Investigator
Employment type
Full-time
Work setting
On-site
Location
Los Angeles, CA
Schedule
Day shift
Posted
You'll be redirected to the employer's application page.
Job overview
The Clinical SIU Investigator is an onsite role based in Los Angeles, CA. Compensation is not specified for this position, which supports the Special Investigations Unit at RGP. This role conducts clinical and compliance reviews of medical records to identify potential fraud, waste, and abuse. It serves as a subject matter expert, performing detailed analyses of complex healthcare claims and documentation.
What you'll do
- Review medical records for clinical consistency and compliance.
- Identify indicators of fraud, waste, and abuse.
- Analyze documentation to validate medical necessity.
- Collaborate with SIU investigators.
What we're looking for
- Skills & competencies
- full-timeday shiftlos angeles cargpsiuclinical investigatorhealthcare compliancefraud investigationno on-call
- Work arrangement
- Weekend coverage required
Benefits & perks
- Medical, Dental, Vision, 401(k), Professional Development
Why this role
Focus on clinical fraud investigation and healthcare compliance.
About the employer
RGP is hiring for this role. Industry: Claims Adjusting. Sector: 52.
Additional details
- Industry sector
- 52
- Industry
- Claims Adjusting
- Occupation code
- 13-1031.00
You'll be redirected to the employer's application page.
Listing ID: 7579a254-1ef8-4c55-a910-1e3ba8782c98