- Elevance Health (Mason, OH)
- **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This role enables associates to work virtually full-time, with the exception of required in-person training ... to recover, eliminate and prevent unnecessary medical-expense spending. The **DRG CODING AUDITOR ** is responsible for auditing inpatient medical records… more
- Humana (Columbus, OH)
- …with federal and/or state requirements related to Provider Clinic operations , billing, investigations, and processes. Coordinates site visits for regulators, ... years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and… more
- Datavant (Columbus, OH)
- …experiences to realize our bold vision for healthcare. **What We're Looking For** A Coding Supervisor capable of overseeing the daily operations of the inpatient ... Operations & Reporting + Track and report on coding productivity and quality metrics for leadership review. +...ICD-10-CM/PCS and MS-DRGs. + Minimum 1-2 years in a coding lead, auditor , or supervisory role. +… more
- Datavant (Columbus, OH)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration… more
- Elevance Health (Mason, OH)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- 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 connectivity, ... unless an accommodation is granted as required by law. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that may pose… more
- Elevance Health (Columbus, OH)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Datavant (Columbus, OH)
- …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
- Elevance Health (Mason, OH)
- **Provider Auditor ** _This position will work a hybrid model (remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized… more
- Elevance Health (Independence, OH)
- **Claims Auditor Senior** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... employment, unless an accommodation is granted as required by law._ The **Claims Auditor Senior** is responsible for auditing of high dollar claims across the stop… more