- Elevance Health (Miami, FL)
- …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... Auditor II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**… more
- Elevance Health (Miami, FL)
- …review and requests payments for any overpayments. + Identifies aberrant patterns of billing and detects potential abuse. + Participates in developing and/or ... which would provide an equivalent background. RN, LPN or medical coding certification strongly preferred. **Preferred Skills, Capabilities, and Experiences:** +… more
- University of Miami (Miami, FL)
- …Functions as an independent project lead or provides oversight for project manager and/or business analyst on assigned projects, and recognize/ minimize business ... on current systems and technology in order to recommend potential changes or enhancements that will assist in adhering...or a related field. Master's degree is desirable + Coding Certification (eg CPC, CCS, CIC, CMC) from an… more
- Elevance Health (Tampa, FL)
- …Investigator II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an ... identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and abuse… more