- Elevance Health (Washington, DC)
- **Anticipated End Date:** 2024-09-16 **Position Title:** RN Hospital Bill Audit /Appeal Lead **Job Description:** **RN Hospital Bill Audit /Appeal Lead ** ... eliminate and prevent unnecessary medical-expense spending. The **RN Hospital Audit /Appeal Lead ** is responsible for leading a...line policy edits. + Trains and provides guidance to nurse auditors and manages workflow and priorities for the… more
- Humana (Washington, DC)
- …and help us put health first for our members, providers and ourselves. Desired Lead Associate to lead and manage the enterprise framework to facilitate and ... decision making. + Interfacing with established controls provided by quality audit , clinical policy, process policy/documentation and reporting teams. + Established… more
- Elevance Health (Washington, DC)
- …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