4 jobs found in Flowood

Blue Cross & Blue Shield of Mississippi is seeking a Senior Clinical Compliance Auditor to act as the primary clinical reviewer of findings, complaints, and appeals related to care provided by network hospitals, providers and pharmacies. You will assess billing and coding accuracy, ensure compliance, and prepare objective audit reports. The ideal candidate has a nursing degree, an active Mississippi RN license, 3+ years of clinical healthcare experience, and strong knowledge of CPT/HCPCS/ICD-10 #J-18808-Ljbffr

Healthy Careers Start Here Be part of a vision for a healthier Mississippi as a Senior Clinical Compliance Auditor . At Blue Cross & Blue Shield of Mississippi, we’re not just about providing health insurance, we are creating a strong, supportive community which encourages every Mississippian to live their healthiest life. This mission requires a talented and motivated team with diverse sets of skills and experiences, aligned with the commitment of a healthy Mississippi. By combining strong financial stewardship with a focus on the Health & Wellness of Mississippians, we invest in programs, partnerships, and innovations which drive quality care, lower costs, and healthier lives. Join our team and start a meaningful career where your work supports better health outcomes for Mississippians every day. We are seeking a Senior Clinical Compliance Auditor to act as the primary clinical reviewer of analytical findings, complaints, formal referrals, and appeals related to the...

Blue Cross & Blue Shield of Mississippi is seeking a Senior Clinical Compliance Auditor to act as the primary clinical reviewer of findings, complaints, and appeals related to care provided by network hospitals, providers and pharmacies. You will assess billing and coding accuracy, ensure compliance, and prepare objective audit reports. The ideal candidate has a nursing degree, an active Mississippi RN license, 3+ years of clinical healthcare experience, and strong knowledge of CPT/HCPCS/ICD-10 #J-18808-Ljbffr

Healthy Careers Start Here Be part of a vision for a healthier Mississippi as a Senior Clinical Compliance Auditor . At Blue Cross & Blue Shield of Mississippi, we’re not just about providing health insurance, we are creating a strong, supportive community which encourages every Mississippian to live their healthiest life. This mission requires a talented and motivated team with diverse sets of skills and experiences, aligned with the commitment of a healthy Mississippi. By combining strong financial stewardship with a focus on the Health & Wellness of Mississippians, we invest in programs, partnerships, and innovations which drive quality care, lower costs, and healthier lives. Join our team and start a meaningful career where your work supports better health outcomes for Mississippians every day. We are seeking a Senior Clinical Compliance Auditor to act as the primary clinical reviewer of analytical findings, complaints, formal referrals, and appeals related to the...