- Elevance Health (Atlanta, GA)
- ** Clinical Provider Auditor II ** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II ** is responsible for… more
- Elevance Health (Atlanta, GA)
- …combination of education and experience which would provide an equivalent background. + **Claims Auditor II :** Requires a HS diploma or GED and a minimum of ... with appropriate guidance from management and peers. The **Claims Auditor II ** is responsible for audits of...all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + **Claims Auditor Senior** -… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …usage for outpatient health records. Audit function includes evaluation of clinical documentation to support optimal code assignment. Reviews coding and assist ... to format and present audit results, identify trends, and provide guidance to improve accuracy; and (5) Skill in...in termination of employment. Reference: VA HANDBOOK 5005, PART II , APPENDIX G57. The full performance level of this… more