Clinical Provider Auditor Sr
Elevance Health(25 days ago)
About this role
A Senior Clinical Provider Auditor at Carelon Health (an Elevance Health company) is a senior-level audit role focused on protecting payment integrity and identifying provider-related risk within clinical and claims operations. The position supports the organization’s clinical programs and compliance efforts for member populations. It is a hybrid role aligned with the company’s audit and fraud risk detection function.
Required Skills
- Medical Coding
- Claims Auditing
- Fraud Detection
- Claims Analysis
- ICD-10
- CPT/HCPCS
- Research
- Process Improvement
- Training
Qualifications
- AA/AS Degree
- 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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