• RN Hospital Bill Audit/Appeal Lead

    Elevance Health (Atlanta, GA)
    ** RN Hospital Bill Audit/Appeal Lead** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** RN Hospital Audit/Appeal Lead** is responsible for leading a team of… more
    Elevance Health (09/26/24)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Columbus, GA)
    …would provide an equivalent background. + Requires current, active, unrestricted Registered Nurse license in applicable state(s). **Preferred Skills, ... are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation… more
    Elevance Health (09/11/24)
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  • Payment Integrity Clinician

    Highmark Health (Atlanta, GA)
    …experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + ... Demonstrated ability to solve issues that are complex in nature with minimal direction and latitude to proceed on some actions or decisions **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING… more
    Highmark Health (09/27/24)
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