• Nurse Audit Lead - Carelon…

    Elevance Health (Smithfield, RI)
    Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on ... is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Nurse Audit Lead ** is responsible for leading a team of… more
    Elevance Health (09/19/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Smithfield, RI)
    …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
    Elevance Health (09/17/24)
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