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Provider Audit Specialist - LPN or RN

BlueCross BlueShield of South CarolinaColumbia, SC

Posted Oct 15, 2026

What you’d do

Performs institutional audits of provider billing to check for inappropriate or aberrant charges affecting reimbursement, reviews claim processing for fraudulent practices, and responds to providers on audit findings. Full time. Found on the employer's careers page on Oct 18, 2026. Apply through the link.

You’ll need

  • LPN or RN license
  • Knowledge of hospital and physician audit principles
  • Knowledge of reimbursement procedures
  • Knowledge of patient care practices and anatomy

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