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Healthcare Administration Medical Billing and Coding Healthcare Compliance

Healthcare Claims Auditor II - Fraud & Compliance

Job in Chicago, Cook County, Illinois, 60290, USA
Listing for: Elevance Health
Full Time position
Listed on 2026-01-24
Job specializations:
  • Healthcare
    Healthcare Administration, Medical Billing and Coding, Healthcare Compliance
Job Description & How to Apply Below
A major health company is seeking a Clinical Provider Auditor II to examine claims for compliance with billing guidelines and help mitigate fraud risks. The role requires a minimum of 3 years in medical coding/auditing, with an essential coding certification. Candidates should possess substantial coding knowledge, particularly in ICD-10 and CPT/HCPC standards. This position operates in a hybrid work environment, ensuring a balance of collaboration and flexibility.
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