Elevance Health

Clinical Provider Auditor II (US)

Elevance Health(1 month ago)

HybridFull TimeMedior$55,480 - $105,120Audit
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About this role

The Clinical Provider Auditor II at Elevance Health focuses on identifying potential fraud, waste, and abuse in provider billing and claims to support compliance and risk prevention. The role is based in select U.S. locations and follows a hybrid schedule with periodic in-office collaboration.

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Required Skills

  • Medical Coding
  • Auditing
  • Fraud Detection
  • Claims Review
  • ICD-10
  • CPT Coding
  • MS Excel
  • Research
  • Collaboration
  • Training

Qualifications

  • AA/AS
  • CPC
  • CCS
  • CPMA
  • Bachelor's Degree (Preferred)
Elevance Health

About Elevance Health

elevancehealth.com

Elevance Health, formerly Anthem, Inc., serves people across their entire health journey taking an integrated whole-health approach.

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