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Job Information Humana IT Exception Management Professional 2 in Boston Massachusetts Description Are you a fit? Do you have a passion for being able to impact and influence the direction..
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 Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Boston Massachusetts Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Boston Massachusetts Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience..
Job Code 2165586 At UnitedHealthcare , were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of..
Job Information Humana Bilingual Quality Auditor in Boston Massachusetts Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality...
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Boston Massachusetts Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural..
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..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Boston Massachusetts Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural..
Job Information Humana Quality Assurance Audit Professional 2 in Boston Massachusetts Description Humana's Marketing Operations Quality Audit team is looking for a Quality Assurance Audit Professional 2 to join working..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Boston Massachusetts Description The Medical Coding Auditor reviews medical claims submitted against medical records..
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 Manager, Compliance - Agent Investigation Unit in Boston Massachusetts 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..
SENIOR INTERNAL AUDITOR *Hybrid work schedule. Mass General Brigham is an integrated health system founded by Brigham and Women's Hospital and Massachusetts General Hospital. In addition to its two academic..
PURPOSE AND SCOPE:The Senior Auditor (SA) assists with any kind of audit up to and including issuing the final follow-up report together with one or more supervising auditors or higher..
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 Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Boston Massachusetts Description We are looking for a talented risk and compliance expert to help build a..
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..