- Elevance Health (Washington, DC)
- ** Clinical Provider Auditor II ** **Supports the Payment Integrity line of business** _Location:_ Alternate locations may be considered. This position ... Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II ** is responsible for… more
- Highmark Health (Washington, DC)
- …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system...+ Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and… more
- Charles River Laboratories (Rockville, MD)
- …system (eg System Owner, IT, QA, Departmental Managers, vendors, etc). * Provide guidance and support on Computer System Validation (CSV) practices, helping others ... experience listed above. * Certification/Licensure: Certifications like Certified Quality Auditor (CQA), Certified Quality Engineer (CQE), or specialized CSV… more