THE LARGEST COLLECTION OF AUDITOR JOBS ON EARTH
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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...
Job Information Humana IT Exception Management Professional 2 in Newport Rhode Island Description Are you a fit? Do you have a passion for being able to impact and influence the..
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..
Job Information Humana Quality Assurance Audit Professional 2 in Newport Rhode Island Description Humana's Marketing Operations Quality Audit team is looking for a Quality Assurance Audit Professional 2 to join..
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,..
A revenue cycle and health information management solutions company has an open position for a Telecommute Inpatient Medical Coding Auditor. Core Responsibilities Include: Providing audit services including ICD-9-CM/PCS and ICD-10-CM/PCS..
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 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 reviews medical documentation for clinical indicators to ensure specific procedures meet clinical criteria and correct..
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..
Job Information Humana Bilingual Quality Auditor in Newport Rhode Island Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Newport Rhode Island Description The Medical Coding Auditor extracts clinical information from a variety of medical records and..
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 Manager, Compliance - Agent Investigation Unit in Newport Rhode Island Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and..
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 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 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 Newport Rhode Island Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Newport Rhode Island 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 Newport Rhode Island Description The Medical Coding Auditor reviews medical claims submitted against medical..
Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Newport Rhode Island Description We are looking for a talented risk and compliance expert to help build..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Newport Rhode Island Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate..