- Elevance Health (Mason, OH)
- ** Clinical Provider Auditor II ** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Clinical Provider Auditor II...or any combination of education and experience, which would provide an equivalent background. + Requires coding certification (CPC,… more
- Elevance Health (Des Moines, IA)
- ** Clinical Provider Auditor II ** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II ** is responsible for… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Staff Auditor II Augusta , Maine , United States | Auditor | Full-time | Partially remote Apply by: Sept. 5, 2025 Apply with Linkedin Apply Department of ... to its staff. ABOUT THE POSITION: As a Staff Auditor II you will: + Perform independent...and standards. + Analyze budget and expenditure information and/or clinical and professional records in a forensic capacity requiring… more
- Elevance Health (Chicago, IL)
- **Claims Auditor II ** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... accommodation is granted as required by law._ The **Claims Auditor II ** is responsible for audits of...to Recovery Team. + Independently interprets Medical Policy and Clinical Guidelines. **Minimum Requirements :** + Requires a HS… more
- Charles River Laboratories (Wayne, PA)
- …actions to respond to client visit and regulatory inspection find.ings. + Provide recommendations to Regulatory Affairs and Compliance management for improvements in ... from the establishment and characterization of cell banks through preclinical and clinical studies to marketed products. Whether clients need stand-alone services, a… more
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- …that categorizes all VA patients into specific classes representing their clinical conditions and resource needs. Monitors regulatory and policy requirements ... consults with the professional staff for clarification of conflicting or ambiguous clinical data. Searches the patient record to find documentation justifying code… more
- Highmark Health (Helena, MT)
- …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system...+ Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and… more
- US Tech Solutions (IL)
- …**possible extension)** **Purpose:** + Performs key operational activities across the ** Clinical Documentation** Center for master files through life cycle. + ... Collaborates with **Master File** Owners to support inspection readiness of clinical documentation / master files; may be aligned by Therapeutic Area but expected to… more
- Terumo Medical Corporation (Elkton, MD)
- Quality Engineer II Date: Aug 13, 2025 Req ID: 4925 Location: Elkton, MD, US Company: Terumo Medical Corporation Department: Quality Engineering Operations Terumo ... products, training and education programs that drive clear economic value, better clinical outcomes and improved quality of life for patients. TMC is part… more
- Medtronic (Lafayette, CO)
- …patient care, anytime, anywhere. Through connected solutions seamlessly integrated into clinical practice, we help predict and prevent dangerous and costly ... quality parts, materials, and services, prevent defects, and allows Medtronic to provide customers with the highest quality and reliability products. + Collaborates… more
Related Job Searches:
Auditor,
Auditor II,
Clinical,
Clinical Provider,
Clinical Provider Auditor,
II,
Provider,
Provider Auditor