• Elevance Health (Richmond, VA)
    …Clinical Fraud Investigator II - Registered Nurse and CPC - Carelon Payment Integrity SIU Job Description: Clinical Fraud Investigator II - Registered ... Nurse and CPC - Calrelon Payment Integrity SIU Location: This role requires...in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years… more
    Upward (07/06/25)
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  • UnitedHealth Group (Minneapolis, MN)
    …age or older Preferred Qualifications: Experience with health insurance billing/coding within Payment Integrity AHFI or CFE certification Experience in a ... (or higher) Licensed Registered Nurse (RN), Licensed Practical Nurse (LPN) and/or Certified Coder 3+ years of CPT & ICD coding experience (surgical,… more
    Upward (07/14/25)
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  • Registered Nurse - Payment

    LA Care Health Plan (Los Angeles, CA)
    Registered Nurse - Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 ... to support the safety net required to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is responsible for investigating,… more
    LA Care Health Plan (07/06/25)
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  • Compliance Auditor, Associate

    UPMC (Pittsburgh, PA)
    …Auditor, Associate** to join our team. This role is crucial in maintaining the integrity of our coding and billing processes, ensuring they meet state and federal ... to hear from you! Apply now and join a team that values precision, integrity , and strategic thinking. + High School Diploma or equivalent required. + Associate's… more
    UPMC (07/24/25)
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  • Compliance Auditor, Intermediate (Cemc, CPC,…

    UPMC (Pittsburgh, PA)
    …will play a crucial role in upholding our standards and ensuring the highest level of integrity in our operations. Join us and be part of a team that values your ... + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M codes. + Experience in an… more
    UPMC (07/11/25)
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