About this role
Clinical Fraud Investigator II at Elevancehealth. Location: Atlanta or Lake Mary or Indianapolis or Miami or Wilmington or Cincinnati or Grand Prairie. Role: performing analysis, investigating providers, reviewing claims Requirements: Associate Degree in Nursing and/or Certified Professional Coder, minimum 4 years related experience including 1 year in clinical fraud investigations; advanced Excel and strong analytical and communication skills. Category: Legal and Compliance Seniority: Mid Level Tools: Microsoft Excel Certifications: certified professional coder (aapc or ahima) Commitment: Full Time Workplace: Hybrid Languages: English