- Elevance Health (Indianapolis, IN)
- 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
- Immigration and Customs Enforcement (IN)
- …of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery; and developing policy guidance for nursing care reviews conducted ... and Certifications Required: Nursing License- Must be a Registered Nurse (RN). Maintains current/documented professional licensure. (It is the responsibility… more
- Elevance Health (Indianapolis, IN)
- …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
- Humana (Indianapolis, IN)
- …+ Create and present education as requested by the Process Improvement Lead . + Supports Operations Managers in quality improvement initiatives. + Assist Managers ... in communicating audit findings to individuals and teams. + Communicate and...degree, 4+ years of equivalent experience, or Licensed Practical Nurse (LPN). + 2+ years of experience related to… more