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Medical Billing and Coding Healthcare Administration Healthcare Compliance

Remote Clinical Claims Auditor II - Fraud & Abuse

Remote / Online - Candidates ideally in
Atlanta, Fulton County, Georgia, 30383, USA
Listing for: Elevance Health
Remote/Work from Home position
Listed on 2026-02-16
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Administration, Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
A healthcare provider is seeking a Clinical Provider Auditor II responsible for identifying potential fraud and abuse in medical claims. The role offers virtual work with some training in-person, and requires an AA/AS degree, coding certification, and medical coding experience. Candidates should possess strong knowledge of coding guidelines, and the position involves examining claims for compliance, conducting audits, and collaborating with the Special Investigation Unit.

This is a unique opportunity for professionals passionate about enhancing healthcare efficiency.
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