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38

Audit Jobs in Maine





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Job info
 
Company
**********
Location
Portland, ME
Posted Date
Sep 23, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana IT Exception Management Professional 2 in Portland Maine Description Are you a fit? Do you have a passion for being able to impact and influence the direction..

 
Company
**********
Location
Portland, ME
Posted Date
Sep 24, 2021
Info Source
Employer  - Full-Time  90  

Description Humana's Provider Payment Integrity organization is looking for a Senior Vendor Management Professional to join the Data Mining Vendor Management team! As the Senior Vendor Management Professional you will..

 
Company
Humana Inc.
Location
Portland, ME
Posted Date
Aug 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. This role will focus on..

 
Company
**********
Location
Portland, ME
Posted Date
Mar 14, 2022
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Portland, ME
Posted Date
Mar 23, 2023
Info Source
Employer  - Full-Time  90  

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

 
Company
Humana Inc.
Location
Portland, ME
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

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..

 
Company
Humana Inc.
Location
Portland, ME
Posted Date
Jun 03, 2023
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Portland, ME
Posted Date
Oct 29, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Quality Assurance Audit Professional 2 in Portland Maine Description Humana's Marketing Operations Quality Audit team is looking for a Quality Assurance Audit Professional 2 to join working..

 
Company
**********
Location
Portland, ME
Posted Date
Dec 01, 2021
Info Source
Employer  - Full-Time  90  

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...

 
Company
**********
Location
Portland, ME
Posted Date
Dec 18, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Portland Maine Description We are looking for a talented risk and compliance expert to help build a..

 
Company
**********
Location
Portland, ME
Posted Date
Jun 12, 2022
Info Source
Employer  - Full-Time  90  

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..

 
Company
Humana Inc.
Location
Portland, ME
Posted Date
Oct 19, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Portland Maine Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns..

 
Company
**********
Location
Oxford, ME
Posted Date
Mar 03, 2022
Info Source
Employer  - Full-Time  90  

DescriptionUnder director of the Senior Director of Internal Audit, the Internal Auditor is responsible for reviewing controls and procedures in place at Oxford Casino to maintain compliance with federal, state,..

 
Company
**********
Location
Portland, ME
Posted Date
Mar 11, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Portland Maine Description The Medical Coding Auditor reviews medical claims submitted against medical records..

 
Company
**********
Location
Portland, ME
Posted Date
Nov 27, 2021
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Portland, ME
Posted Date
Mar 23, 2023
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Portland, ME
Posted Date
Feb 05, 2022
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Portland, ME
Posted Date
Apr 15, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Portland Maine Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience..

 
Company
Humana Inc.
Location
Portland, ME
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Compliance - Agent Investigation Unit in Portland Maine Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures;..

 
Company
**********
Location
Portland, ME
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Portland, ME
Posted Date
Apr 23, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Portland, ME
Posted Date
May 02, 2022
Info Source
Employer  - Full-Time  90  

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,..

 
Company
**********
Location
Portland, ME
Posted Date
Jun 30, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Portland Maine Description The Quality (Non-Calls) Professional 2 ensures that..

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