Clinical Provider Auditor II — Remote Fraud & Compliance
Mableton, Cobb County, Georgia, 30126, USA
Listed on 2026-09-30
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Healthcare
Healthcare Compliance, Medical Billing and Coding
Elevance Health seeks a Clinical Provider Auditor II to identify potential fraud and abuse in claims and medical records, ensuring adherence to billing guidelines and processing standards. This role emphasizes auditing accuracy and risk identification.
Responsibilities include reviewing claims prior to payment, documenting determinations, staying updated on coding changes, and collaborating with the Special Investigation Unit to implement loss-control interventions and training for new
This Full Time opportunity is for the Clinical Provider Auditor II — Remote Fraud & Compliance role at Elevance Health.
Please review the full job details above before applying.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
This is a Full Time role.
The position is based in Atlanta, GA, United States.
This opportunity is part of our work in Legal, Bio & Pharmacology & Health.
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