Rahul Saraswat

Experienced US Healthcare Fraud Waste and Abuse Professional


US Healthcare Claims Data analysis Data Analysis & Interpretation Prevention Fraud Detection Fraud HIPAA Healthcare Industry Health Insurance Management
10+ years of experience working with large volumes of medical claims data
Experience in data analysis geared toward identifying fraud and abuse
Knowledge of professional and facility claim data elements
Knowledge of standard industry coding systems such as CPT, HCPCS, ICD-9, ICD-10 and Revenue Codes
Ability to communicate to all levels of business associates internally and externally
Strong analytical and problem solving ability. Ability to work independently as well as collaboratively. Strong attention to detail and accuracy
Ability to take initiative in developing and completing projects

Data interpretation & Information Management
Rules based Analysis
Anomaly Detection
Cluster & Link Analysis
Fraud Detection
US Healthcare & Insurance
SAS Enterprise Guide
MS Access
Professional & Facility claims review

Product Management at

Oct 2016 - Present


Project Management at Sikkim Manipal University

Apr 2011 - Sep 2013

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