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Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Kalamazoo Michigan 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 Troy Michigan Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Kalamazoo Michigan 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 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 Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Troy Michigan Description The Quality (Non-Calls) Professional 2 ensures that..
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 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..
Energy Auditor I COMPANY SUMMARY As a combined organization, Franklin Energy and AM Conservation Group is undertaking what is perhaps the central challenge of our times €“ to help drive..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Troy Michigan Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience..
Job Information Humana Clinical Auditor Registered Nurse Care Management or Utilization Management in Troy Michigan Description Humana Healthy Horizons in Ohio is seeking a Utilization and Case Management Clinical Auditors...
REQUISITION NUMBER: 115212 JOB DESCRIPTION Cintas is seeking a Production Associate - Quality Auditor. Responsibilities include inspecting products, making decisions regarding quality requirements, tagging/identifying defects for repairs or upgrades, removing..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Troy Michigan Description The Medical Coding Auditor reviews medical claims submitted against medical records..
Job Information Humana Bilingual Quality Auditor in Troy Michigan Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality...
Job Information Humana Senior Compliance Registered Nurse in Troy Michigan Description Humana Healthy Horizons in Ohio is seeking a Senior Compliance Nurse. This position ensures mandatory reporting for Case Management..
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..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Troy Michigan Description The Quality (Non-Calls) Professional 2 ensures that products meet specific..
Description KEY RESPONSIBILITIES: * Coordinates and assists in the review process of narratives, detailed procedure documents and the internal control matrix to ensure all business areas are completing annual reviews..
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 Manager, Compliance - Agent Investigation Unit in Troy Michigan Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures;..
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..