• Clinical Provider Auditor…

    Elevance Health (West Des Moines, IA)
    ** Clinical Provider Auditor II ** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II ** is responsible for… more
    Elevance Health (08/01/25)
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  • Coding Auditor Educator

    Highmark Health (Des Moines, IA)
    …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 (05/09/25)
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