- Elevance Health (Washington, DC)
- **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... 50 miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to… more
- Elevance Health (Washington, DC)
- ** Clinical Provider Auditor I** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor I** is responsible for identifying… more
- Elevance Health (Washington, DC)
- Nurse Auditor Senior - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a ... to recover, eliminate, and prevent unnecessary medical-expense spending. The Nurse Auditor Senior is responsible for identifying, monitoring, and analyzing aberrant… more
- Baylor Scott & White Health (Washington, DC)
- …specific qualifications and prior experience. **ESSENTIAL FUNCTIONS OF THE ROLE** + Conducts provider audits and creates provider scorecards to offer feedback on ... knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the...+ Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance with standards… more
- Cardinal Health (Washington, DC)
- …a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for health care facilities. We are a ... crucial link between the clinical and operational sides of care, working with more...designed and implemented to meet the compliance requirements + Provide oversight over the compliance work stream to confirm… more