• Medical Coder

    Robert Half Office Team (Waukesha, WI)
    Description We are seeking a Medical Coder in Waukesha, Wisconsin. This role will involve determining appropriate assignment of various codes for services ... provided in different healthcare settings, evaluating medical records, conducting quality assurance audits, and providing training to new providers. This position is… more
    Robert Half Office Team (12/14/24)
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  • Investigator, Coding SIU (Remote)

    Molina Healthcare (Racine, WI)
    …for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and ... medical records to document relevant findings of a post...registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's degree… more
    Molina Healthcare (12/15/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Waukesha, WI)
    …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
    Elevance Health (01/01/25)
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  • Nurse and CPC - Clinical Fraud Investigator II…

    Elevance Health (Waukesha, WI)
    …prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as necessary to ... an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including… more
    Elevance Health (12/31/24)
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  • Process Improvement Director-HEDIS

    Elevance Health (Waukesha, WI)
    …Six Sigma Black Belt certification preferred. + Certified Professional Coder (CPC) and or professional coding experience preferred. + ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
    Elevance Health (12/21/24)
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