• Claims Auditor II

    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, ... for employment, unless an accommodation is granted as required by law._ The ** Claims Auditor II ** is responsible for audits of high dollar claims… more
    Elevance Health (09/09/25)
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  • Clinical Provider Auditor II

    Elevance Health (Chicago, IL)
    **Clinical Provider Auditor II ** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II ** is responsible for identifying issues and/or entities… more
    Elevance Health (09/06/25)
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  • Coding Auditor Educator

    Highmark Health (Springfield, IL)
    …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 ... + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
    Highmark Health (08/08/25)
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