About this role
The Clinical Provider Auditor II role focuses on reviewing healthcare claims and medical records to ensure compliance and identify potential fraud or abuse. The position collaborates with other internal teams, particularly in investigations and risk mitigation, contributing to the organization's fraud prevention efforts. It offers a hybrid work environment and is integral to maintaining healthcare billing integrity.
Required Skills
- Medical Coding
- Auditing
- Fraud Detection
- Claims Review
- Medical Records
- ICD-10
- CPT
- HCPCS
- E/M Coding
- Regulations
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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