Clinical Provider Auditor Senior
Elevance Health(1 day ago)
About this role
The Clinical Provider Auditor Senior is responsible for reviewing healthcare claims and medical records to identify potential fraud, waste, and abuse. The role involves analyzing billing and coding data, collaborating with investigation units, and developing strategies to mitigate risk. It supports healthcare compliance and quality assurance efforts within a hybrid work environment.
Required Skills
- Medical Coding
- Auditing
- Fraud Prevention
- ICD-10
- CPT Coding
- Healthcare Compliance
- Medical Records Review
- Data Analysis
- Healthcare Laws
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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