• Pharmacy Internal Auditor

    Elevance Health (Mason, OH)
    …service written and verbal inquiries. **How you will make an impact:** + Assists higher level auditor / lead on field work as assigned and acts as auditor in ... **Pharmacy Internal Auditor ** **Location:** This position will work a hybrid...in pre and post implementation audits ofpharmacy operational processes, claims processing and payment, member and provider inquiries, enrollment… more
    Elevance Health (01/09/25)
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  • DRG Coding Auditor

    Elevance Health (Mason, OH)
    **DRG Coding Auditor (DIAGNOSTIC RELATED GROUP)** _This position will work virtually._ _Alternate locations may be considered._ _The Ideal candidate must live within ... recover, eliminate and prevent unnecessary medical-expense spending. The **DRG Coding Auditor ** is responsible for auditing inpatient medical records and generating… more
    Elevance Health (01/11/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Mason, OH)
    **Diagnosis Related Group Clinical Validation Auditor -** **Registered Nurse** **Location:** This position will work a hybrid model (remote and office). Ideal ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (01/01/25)
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  • Clinical Provider Auditor II

    Elevance Health (Mason, OH)
    **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ Alternate locations may be considered. This position will work in a ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
    Elevance Health (01/15/25)
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