• Clinical Fraud Investigator II…

    Elevance Health (Tampa, FL)
    ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Fraud Investigator II** is responsible for...and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired.… more
    Elevance Health (08/16/25)
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  • Clinical Dispute Reviewer

    Zelis (St. Petersburg, FL)
    …+ Current, active Inpatient Coding Certification required (ie, CCS, CIC, RHIA, RHIT, CPC or equivalent credentialing). + Registered Nurse licensure preferred + ... shape who you are. Position Overview At Zelis, the Clinical Dispute Analyst role is responsible for the resolution...WhatsApp or personal emails for recruitment. Forward any suspected fraud to ###@zelis.com for prompt investigation. Thank you for… more
    Zelis (08/20/25)
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