Clinical Provider Auditor II
Elevance Health(25 days ago)
About this role
Clinical Provider Auditor II at Carelon Health (an Elevance Health brand) is a mid-level audit role focused on assessing provider billing and clinical documentation to help identify potential fraud, waste, and abuse. The position supports claims integrity and risk-control efforts and partners with investigative and clinical teams. The role follows a hybrid schedule, typically requiring 1–2 days onsite per week.
Required Skills
- Claims Audit
- Medical Coding
- Fraud Detection
- Medical Records
- ICD-10
- CPT
- Billing Compliance
- Data Analysis
- Investigations
- Collaboration
+1 more
Qualifications
- AA/AS
- Bachelor's Degree (Preferred)
- CPC
- CCS
- CPMA
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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