Clinical Provider Auditor I
Elevance Health(1 month ago)
About this role
A Clinical Provider Auditor I at Elevance Health is an entry-level audit role within the company’s fraud and risk detection function, focused on supporting program integrity and compliance. The position contributes to identifying potential provider-related fraud and abuse and assists in risk mitigation efforts across healthcare claims operations.
Required Skills
- Medical Coding
- Claims Review
- Auditing
- Fraud Detection
- Medical Records
- ICD-10
- CPT Coding
- Research
- Collaboration
- Documentation
Qualifications
- AA/AS
- CPC/CCS/CPMA (required within 1 year)
About Elevance Health
elevancehealth.comElevance Health, formerly Anthem, Inc., serves people across their entire health journey taking an integrated whole-health approach.
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