• HCC Risk Adjustment Coder PRN PPC

    Datavant (Columbus, OH)
    …healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
    Datavant (03/27/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Cincinnati, OH)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more
    Elevance Health (04/29/25)
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  • Clinical Provider Auditor II

    Elevance Health (Mason, OH)
    …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... + Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1...experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). **Preferred Capabilities,… more
    Elevance Health (05/02/25)
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  • Investigator Senior

    Elevance Health (Columbus, OH)
    …line of business** _Location: This position will work a hybrid model ( remote and office)._ _Alternate locations may be considered._ _The Ideal candidate must ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent… more
    Elevance Health (05/03/25)
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  • Investigator Senior

    Elevance Health (Independence, OH)
    …line of business** _Location: This position will work a hybrid model ( remote and office)._ _Alternate locations may be considered._ _The Ideal candidate must ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent… more
    Elevance Health (04/18/25)
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