• Payment Integrity Nurse

    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
    LA Care Health Plan (07/06/25)
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  • Payment Integrity Nurse

    LA Care Health Plan (Los Angeles, CA)
    Payment Integrity Nurse Coder RN II Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... and to support the safety net required to achieve that purpose. Job Summary The Payment Integrity Nurse Coder II will learn and obtain certification in… more
    LA Care Health Plan (07/06/25)
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  • Clinical Fraud Investigator II - Registered…

    Elevance Health (Gilbert, MN)
    **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 ... and adaptable workplace. Alternate locations may be considered. **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
    Elevance Health (07/02/25)
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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 (04/24/25)
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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 (06/06/25)
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  • Clinical Documentation Specialist I

    Cleveland Clinic (Cleveland, OH)
    …include: + High School Diploma/GED + Five years of experience as a Clinical Nurse or Inpatient/Outpatient Coder OR two years of experience as a Clinical ... Documentation Integrity Specialist + High acuity RN experience + ED,...or care management experience + Understanding of risk adjusted payment methodologies, HCC assignment and payment methodology,… more
    Cleveland Clinic (07/11/25)
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