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Job Information Humana Quality Assurance Audit Professional 2 in Green Bay Wisconsin Description Humana's Marketing Operations Quality Audit team is looking for a Quality Assurance Audit Professional 2 to join..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement...
nJob Duties And Responsibilities nn Audits the daily guest ledgern Handles all end-of-day accounting functions including posting daily room rates and room taxn Ensures accuracy of all charges to guest..
Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guideline are met. The Medical Coding Auditor work assignments are varied and frequently..
Description The Claims Quality Audit Representative 3 audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. The Claims Quality Audit Representative 3 performs advanced..
Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Green Bay Wisconsin Description We are looking for a talented risk and compliance expert to help build..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Green Bay Wisconsin Description The Quality (Non-Calls) Professional 2 ensures..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Green Bay Wisconsin Description The Quality (Non-Calls) Professional 2 ensures that products meet..
Description Author, recently launched by Humana, is a service experience designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical..
Description Responsibilities The Claims Quality Audit Professional 1 works with the Resolution Quality Audit leadership team to support efficiency and day to day operations. Requires in-depth knowledge of Microsoft products..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records, and reviews medical documentation for clinical indicators to ensure specific procedures meet clinical criteria and correct..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Green Bay Wisconsin Description The Medical Coding Auditor reviews medical claims submitted against medical..
Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Green Bay Wisconsin Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Green Bay Wisconsin Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and..
Description The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor,..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Green Bay Wisconsin Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Green Bay Wisconsin Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate..
