- Elevance Health (Cincinnati, OH)
- …methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company , for all lines of ... **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role...letter writing) on lower level auditors. + Identifies new claim types by identifying potential claims outside… more
- Elevance Health (Mason, OH)
- …** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company , for all lines of ... claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept… more
- Sedgwick (Cincinnati, OH)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote position, and candidates residing in any ... United States are encouraged to apply. As an Attorney Auditor at Sedgwick, you'll have the opportunity to take...Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +… more
- Elevance Health (Mason, OH)
- **Title:** Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG) **Virtual:** This role enables associates to work virtually ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ... is complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently require interpretation and… more
- Elevance Health (Cincinnati, OH)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... you will make an impact:** + Assists higher level auditor /lead on field work as assigned and acts as...Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider… more