• Clinical Provider Auditor…

    Elevance Health (Grand Prairie, TX)
    ** Clinical Provider Auditor II ** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... as required by law._ **Schedule:** Standard hours, Monday-Friday The ** Clinical Provider Auditor II...or any combination of education and experience, which would provide an equivalent background. + Requires coding certification (CPC,… more
    Elevance Health (10/05/25)
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  • Clinical Provider Auditor…

    Elevance Health (Houston, TX)
    ** 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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  • Coding Auditor Educator-Inpatient

    Highmark Health (Austin, TX)
    …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 (09/20/25)
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