Clinical Provider Auditor II

Carelon Global Solutions India
Norfolk, GA
Category Accounting
Job Description
The Clinical Provider Auditor II role supports the Payment Integrity line of business and involves examining claims for compliance with relevant billing and processing guidelines, identifying opportunities for fraud and abuse prevention and control, and collaborating with the Special Investigation Unit.

Requirements

  • AA/AS degree
  • 4 years medical coding/auditing experience
  • 1 year in fraud, waste abuse experience
  • coding certification (CPC, CCS, CPMA)

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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