Audit Jobs in Mascot

Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied..

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...

Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the..

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

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

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

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

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 Manager, Compliance - Agent Investigation Unit in Brentwood Tennessee Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures;..

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 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 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 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 and PCS) to patient records. The..

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

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

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

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

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

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,..

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..

Description Humana's Internal Audit team provides independent objective assurance and consulting services that are designed to validate design and operating effectiveness as well as improve controls, operations, and risk management...