• Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Waukesha, WI)
    **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for… more
    Elevance Health (09/11/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Waukesha, WI)
    …Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding Credential such as ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
    Elevance Health (08/09/25)
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  • Clinical Documentation Specialist

    Ascension Health (Oconomowoc, WI)
    …obtained prior to hire date or job transfer date. + Certified Professional Coder ( CPC ) credentialed from the American Academy of Professional Coders (AAPC) ... **Responsibilities** Facilitate improvement in overall quality, completeness and accuracy of medical record documentation. + Complete admission reviews and assign a… more
    Ascension Health (09/03/25)
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