• DRG Coding Auditor (ICD-9/10cm, MS-DRG,…

    Elevance Health (Ashburn, VA)
    …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role enables… more
    Elevance Health (12/09/25)
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  • DRG Clinical (RN) Validation Auditor

    Elevance Health (Norfolk, VA)
    DRG Clinical (RN) Validation Auditor **Virtual** : This role enables associates to work virtually full-time, except for required in-person training sessions, ... granted as required by law._ The **DRG Clinical Validation Auditor ** is responsible for auditing inpatient medical records to...Specializes in review of Diagnosis Related Group (DRG) paid claims . Primary duties may include, but are not limited… more
    Elevance Health (01/15/26)
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  • Nurse Auditor Senior - Payment Integrity…

    Elevance Health (Richmond, VA)
    **Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the exception of ... of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review. **How you… more
    Elevance Health (01/14/26)
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