Provider Auditor Senior

Elevance Health

Atlanta, GA, US
Hybrid
Conduct on-site medical chart reviews
Analyze claims and provider contracts
Mentor and train junior auditors
The Provider Auditor Senior conducts on-site reviews of medical charts and provider contracts to ensure compliance with reimbursement policies

Job Summary

  • The Provider Auditor Senior conducts on-site reviews of medical charts and provider contracts to ensure compliance with reimbursement policies.
  • This role involves identifying billing patterns and potential abuse while mentoring junior staff.
  • Elevance Health is committed to improving lives and communities through a dynamic workplace culture.

Matching Summary

The Provider Auditor Senior conducts on-site reviews of medical charts and provider contracts to ensure compliance with reimbursement policies.

Skills & Requirements

Must-have

  • Conduct on-site medical chart reviews
  • Analyze claims and provider contracts
  • Mentor and train junior auditors

Nice-to-have

  • Strong analytical skills
  • Effective communication abilities
  • Team collaboration mindset

Key Requirements

  • BA/BS degree required
  • Minimum 3 years of relevant experience
  • Certification as a Professional Coder preferred

Work Rights

Not specified

Tailored Resume

Cover Letter