- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full ... to support the safety net required to achieve that purpose. Job Summary The Payment Integrity Nurse Coder RN III is responsible for investigating,… more
- Elevance Health (Seattle, WA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work virtually ... an accommodation is granted as required by law._ **Carelon Payment Integrity ** is a proud member of...in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years… more
- Highmark Health (Little Rock, AR)
- …and member satisfaction. The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment and retrospective ... with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in accordance… more
- Stanford Health Care (Palo Alto, CA)
- …audits as requested. + Collaborates with RI CDM to optimize the integrity of the Chargemaster + Applies consistent and standardized compliance monitoring methodology ... anatomy and physiology and study of diseases + Knowledge of governmental payment practices for Medicare and MediCal + Working knowledge of commercial payer… more