• Clinical Provider Auditor…

    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** ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II ** is responsible for… more
    Elevance Health (09/06/25)
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  • 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, ... 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
    Elevance Health (09/09/25)
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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 ... 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
    Highmark Health (08/08/25)
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  • Clinical Studies Specialist II

    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
    US Tech Solutions (08/23/25)
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