- CVS Health (Annapolis, MD)
- …strategic initiatives, along with a team of medical coders/nurses supporting Aetna's Special Investigations Unit. Key Responsibilities: + Leadership: Leads a ... team of coding /nursing professionals who conduct reviews of medical records and...coder/nurse reviews, ensuring compliance with ICD-10, CPT and HCPCS coding guidelines. Assist with department build and implementation of… more
- Elevance Health (Hanover, MD)
- …lifecycle. + Researches new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, ... **Clinical Provider Auditor Senior ** **Supports Payment Integrity line of business** _Location:_...trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters… more