Elevance Health seeks a Clinical Provider Auditor II to identify issues related to fraud and abuse in medical claims. The role focuses on ensuring compliance with billing guidelines and documenting determinations throughout the claims lifecycle.
You will review claims and medical records before payment, use required systems to document outcomes, and research questions as needed to support investigations and coding accuracy.
#J-18808-LjbffrRemote Clinical Provider Auditor II - Fraud & Compliance in workfromhome at Unknown Company
This position is listed as full time and onsite.