• Claims and Call Auditor (Call Center…

    CHS (Clearwater, FL)
    **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... accuracy, and work with the MPS Call Center Manager/Supervisor/Team Lead and analyze the data for training purposes. +...and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC)… more
    CHS (06/14/25)
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  • Claims Auditor I

    Elevance Health (Miami, FL)
    ** Claims Auditor I** **Virtual:** This role...is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... employment, unless an accommodation is granted as required by law._ The ** Claims Auditor ** **I** is responsible for pre and post payment and adjudication audits… more
    Elevance Health (08/30/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ _​_ This role enables associates to work virtually full-time, with the exception of required in-person training ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records and generating… more
    Elevance Health (08/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
    Elevance Health (08/23/25)
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  • Clinical Provider Auditor II

    Elevance Health (Tampa, FL)
    **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
    Elevance Health (08/13/25)
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