• Attorney Auditor

    Sedgwick (Annapolis, MD)
    …provided to insurance carriers, corporate legal departments and government entities. The auditor will apply client specified billing guidelines and/or Generally ... Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and...Ability to effectively communicate with law firms to discuss compliance with client's billing requirements. + Effectively… more
    Sedgwick (07/09/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Annapolis, MD)
    …about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and ... validate the mitigation of compliance risk across the organization. This team ensures that...federal and/or state requirements related to Provider Clinic operations, billing , investigations, and processes. Coordinates site visits for regulators,… more
    Humana (08/23/25)
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  • Clinical Provider Auditor II

    Elevance Health (Hanover, MD)
    …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of...investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates… more
    Elevance Health (08/13/25)
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  • Coding Auditor Educator

    Highmark Health (Annapolis, MD)
    …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts… more
    Highmark Health (08/08/25)
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  • Supervisor of Coding Operations

    Datavant (Annapolis, MD)
    …+ Implement process improvements to enhance accuracy, efficiency, and regulatory compliance . + Ensure coding is completed within established turnaround times to ... support timely billing . **What You Need to Succeed** + 2+ years...MS-DRGs. + Minimum 1-2 years in a coding lead, auditor , or supervisory role. + Associate's degree in Health… more
    Datavant (08/19/25)
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