- Elevance Health (Richmond, VA)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all… more
- ManpowerGroup (Vienna, VA)
- …of life insurance products + In-depth knowledge of life insurance products, claims processes, and regulatory compliance requirements. + Certification in ... seeking a Bank and Corporate Owned Life Insurance (BOLI/COLI) Auditor to join their team. As a Bank and...policies. + Conduct thorough audits of life and death claims to verify accuracy, completeness, and compliance with company… more
- Elevance Health (Richmond, VA)
- …provider management team by presenting preliminary review results. + Verifies dollar amount on claim is correct in claims system and writes report of the ... **Provider Auditor -** FRD > Audit **Hybrid 1:** This...itemized bills and providers contracts to ensure that a claim is paid in accordance with the contract, provider… more
- Elevance Health (Roanoke, VA)
- **Clinical Provider Auditor II** **Location** **Virtual** : This role enables associates to work virtually full-time, with the exception of required in-person ... is granted as required by law. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities...abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines… more
- Elevance Health (Roanoke, VA)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Highmark Health (Richmond, VA)
- …and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting ... as assigned. **QUALIFICATIONS:** Minimum + High school diploma / GED + Certification from American Academy of Professional Coders (AAPC) or American Health… more