- Elevance Health (Hanover, MD)
- ** Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Location:_ This field-based role enables associates to primarily operate ... insightful analytics to improve the delivery of care. The ** Clinical Provider Auditor I** is...or any combination of education and experience, which would provide an equivalent background. + Must achieve coding certification… more
- Elevance Health (Hanover, MD)
- ** Clinical Provider Auditor Senior** **Supports Payment Integrity line of business** _Lo_ _cation: This is a field position expected to be in clinic 60% of ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor Senior** is responsible for identifying… more
- Elevance Health (Hanover, MD)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... 50 miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to… more
- Elevance Health (Hanover, MD)
- **DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is responsible for ... for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding… more
- TEKsystems (Annapolis, MD)
- …SOI (severity of illness), and ROM (risk of mortality) Description + The Coding Auditor 1 is proficient in various types of coding and is responsible for performing ... quality audits and providing feedback to coders. + The Coding Auditor 1 utilizes the International Classification of Diseases (ICD-10-CM/PCS), Healthcare Common… more
- Catalent Pharma Solutions (Harmans, MD)
- …Managing through Conflict. + ASQ CQA (American Society of Quality Certified Quality Auditor ) highly desirable + Have the knowledge, and ability to apply basic ... 820 The anticipated salary range for this position in Maryland is $118,720-163,240 plus an annual bonus target. The...sizes to advance new medicines from early development to clinical trials and to the market. Catalent produces more… more