• Claims Auditor II

    Elevance Health (Lakewood, WA)
    ** Claims Auditor II** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... for employment, unless an accommodation is granted as required by law._ The ** Claims Auditor II** is responsible for audits of high dollar claims across… more
    Elevance Health (09/09/25)
    - Related Jobs

  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Seattle, WA)
    **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
    Elevance Health (08/23/25)
    - Related Jobs

  • Coding Auditor Educator

    Highmark Health (Olympia, WA)
    …Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or ... and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong education/training background… more
    Highmark Health (08/08/25)
    - Related Jobs

  • Sr Compliance RCM & Coding Auditor

    Humana (Olympia, WA)
    …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... be able to work core business hours on EST time between (9am-5pm). + Willingness to travel up to 10% to conduct audits at site locations. + Ability to manage multiple or competing priorities and meet deadlines + Must be passionate about contributing to an… more
    Humana (08/23/25)
    - Related Jobs

  • Specialist, Configuration Oversight

    Molina Healthcare (WA)
    …conducting various audits including, but not limited to; vendor, focal, audit the auditor . Confirm that documentation is clear and concise to ensure accuracy in ... auditing of critical information on claims ensuring adherence to business and system requirements of...& ABILIITIES:** + Minimum 2 years as an operational auditor for at least one core operations function +… more
    Molina Healthcare (09/07/25)
    - Related Jobs