Clinical Provider Auditor II
Elevance Health(11 days ago)
About this role
The Clinical Provider Auditor II at Elevance Health is responsible for reviewing healthcare claims to ensure compliance, detecting potential fraud and abuse, and collaborating with investigative units. The role involves analyzing medical records, staying updated on billing laws, and supporting risk management strategies in a hybrid work environment.
Required Skills
- Medical Coding
- Auditing
- Healthcare Claims
- Fraud Detection
- Medical Records
- CPT
- HCPCS
- ICD-10
- MS Excel
- Medical Billing
Qualifications
- AA/AS degree
- Coding Certification (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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