Senior Special Investigative Unit (SIU) Auditor
Compensation
$70k – $118k /yr
Employment type
Full-time
Work setting
On-site
Location
Mountlake Terrace, WA
Schedule
Day shift
Posted
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Job overview
The Senior SIU Auditor is a hybrid role based in Mountlake Terrace, WA, with a salary range of $69,600 - $118,300 per year. This position supports Premera Blue Cross in transforming healthcare. This role investigates and audits potential healthcare fraud, waste, abuse, and coding irregularities. The auditor analyzes billing trends, conducts medical claim audits, and develops fraud prevention strategies to protect the integrity of the claims process.
What you'll do
- Conducts retrospective and prospective audits
- validates coding accuracy
- analyzes billing trends
- develops fraud prevention strategies
- prepares audit findings
- manages multiple investigations
- mentors junior auditors.
What we're looking for
- Skills & competencies
- full-timeday shiftmountlake terrace wapremera blue crossauditorsiuhealthcare fraudcodingsalary $69.6k-$118.3khybrid
- Work arrangement
- Weekend coverage required
Benefits & perks
- Medical, vision, dental
- 401K match
- pension plan
- wellness incentives
- tuition assistance.
Why this role
Requires CPC and AHFI credentials; hybrid work model.
About the employer
Premera Blue Cross is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.
Additional details
- Industry sector
- 52
- Industry
- Direct Health and Medical Insurance Carriers
- Occupation code
- 13-2011.00
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Listing ID: 7dc91bd8-2493-4dc3-b3ae-320c92ca9b34