- Elevance Health (Hanover, MD)
- ** Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Lo_ _cation: This is a field position expected to be in clinic 60% of the ... insightful analytics to improve the delivery of care. The ** Clinical Provider Auditor I** is...or any combination of education and experience, which would provide an equivalent background. + Must achieve coding certification… more
- Elevance Health (Columbus, GA)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... 50 miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to… more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** **Description:** **Job Title:** Coding Auditor and Educator (Remote) **Employment Type:** Full-Time **Shift:** Days ... DC and Baltimore, MD. **Description:** + Monday-Friday The Professional Coding Auditor Educator performs medical record audits including but not limited to… more
- The Cigna Group (Bloomfield, CT)
- …an active caseload of inpatient case management cases for Cigna. + Uses clinical knowledge to assess inpatient admission level of care, treatment plan and goals, ... Cigna's approved guidelines and tools to rigorously assess the clinical status of the member, the level of care...and discusses options for discharge planning with the facility, provider , vendor, member and/or family and documents interactions and… more