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Senior Nurse Auditor: Integrity & Clinical Audit
Job in
Richmond, Henrico County, Virginia, 23214, USA
Listed on 2026-01-31
Listing for:
Elevance Health
Full Time
position Listed on 2026-01-31
Job specializations:
-
Healthcare
Healthcare Administration, Healthcare Compliance
Job Description & How to Apply Below
A major healthcare organization is seeking a Nurse Audit Senior to investigate potential fraud and over-utilization in health care. This role involves conducting medical reviews and ensuring compliance. The ideal candidate has an AS in nursing, a current RN license, and at least 4 years of clinical experience. Knowledge of auditing principles, CPT/HCPCS and ICD 9 coding is strongly preferred.
This position allows for virtual work with required in-person training.
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Position Requirements
10+ Years
work experience
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