About this role
Provider Audit Specialist at BlueCross BlueShield of South Carolina. Location: Columbia, South Carolina, United States. Role: conducting audits, analyzing findings, notifying providers Requirements: Associate's in a related field, active RN or LPN licensure, 3+ years clinical nursing and/or medical audit/investigations (including 2 years med/surg bedside), knowledge of medical records, hospital billing, CPT/HCPCS, and Microsoft Office. Category: Healthcare Services - Nursing Seniority: Mid Level Tools: Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft Access, Adobe, BCBSSC system Certifications: rn, lpn, nurse licensure compact (nlc) Commitment: Full Time Workplace: Hybrid Languages: English