Audit Jobs in Chesterfield

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...

Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Glen Allen Virginia 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 Glen Allen Virginia Description The Quality (Non-Calls) Professional 2 ensures..

IT Audit Manager The IT Audit Manager is responsible for planning, performing and managing the global Information Technology (IT) compliance and risk-based audits for all TForce business entities. Responsibilities: Manages..

Job Information Humana Bilingual Quality Auditor in Glen Allen Virginia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of..

IT Audit Manager The IT Audit Manager is responsible for planning, performing and managing the global Information Technology (IT) compliance and risk-based audits for all TForce business entities. Responsibilities: Manages..

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..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Richmond Virginia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Glen Allen Virginia Description The Medical Coding Auditor reviews medical claims submitted against medical..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Glen Allen Virginia Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical..

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..

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 Outpatient Medical Coding Auditor-Remote/Virtual in US in Glen Allen Virginia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate..

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..

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..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Glen Allen Virginia Description The Quality (Non-Calls) Professional 2 ensures that products meet..

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 Glen Allen Virginia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate..

Job Information Humana Manager, Compliance - Agent Investigation Unit in Glen Allen Virginia Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and..

As a Director of Compliance and Risk Management , you will architect and manage Paymerangs compliance programs including but not limited to organizational strategies, policies, and practices. You will interact..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Richmond Virginia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural..

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..