Audit Jobs in Metairie

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 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 Metairie Louisiana Description We are looking for a talented risk and compliance expert to help build a..

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 Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical..

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 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 Inpatient Medical Coding Auditor-Remote/Virtual in US in Metairie Louisiana 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..

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

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Metairie Louisiana 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..

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 Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical..

Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical..

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 Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Metairie Louisiana Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience..

Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical..

Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical..

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

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

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

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..