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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..
KYQJEUAMk7 POSITION SUMMARY: Penske Logistics is looking for Material Control Analysts to become part of an excellent team. This is a great opportunity for individuals who are self-motivated, with strong..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Louisville Kentucky Description The Quality (Non-Calls) Professional 2 ensures that products meet specific..
Job Information Humana Medical Coding Auditor (Evaluation & Management experience required) in Louisville Kentucky Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Louisville Kentucky Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures;..
Job Information Kindred at Home Manager, IT Internal Audit in Louisville Kentucky The Manager, IT Internal Audit , is part of the leadership team within Internal Audit Consulting Group (IACG)..
Job Information Humana Clinical Auditor Registered Nurse Care Management or Utilization Management in Louisville Kentucky Description Humana Healthy Horizons in Ohio is seeking a Utilization and Case Management Clinical Auditors...
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) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Louisville Kentucky Description The Quality (Non-Calls) Professional 2 ensures that..
Description The Cyber Data Protection Engineer 2 will conduct cyber security risk assessments on Third Parties to Humana or its subsidiaries using a pre-defined security questionnaire. The role will be..
Job Information Humana Bilingual Quality Auditor in Louisville Kentucky Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality...
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 The Senior Cyber Data Protection Engineer will conduct cyber security risk assessments on Third Parties to Humana or its subsidiaries using a pre-defined security questionnaire. The role will be..
Description The Bilingual Senior Compliance Professional - Agent Investigations Unit (AIU) ensures compliance with governmental requirements, specifically those governing the sale of Humana plans. The AIU Senior Compliance Professional works..
Description Responsibilities The Claims Quality Audit Professional 1 works with the Resolution Quality Audit leadership team to support efficiency and day to day operations. Requires in-depth knowledge of Microsoft products..
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 Senior Compliance Registered Nurse in Louisville Kentucky Description Humana Healthy Horizons in Ohio is seeking a Senior Compliance Nurse. This position ensures mandatory reporting for Case Management..
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...
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 Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Louisville Kentucky Description The Medical Coding Auditor reviews medical claims submitted against medical records..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Louisville Kentucky Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience..
