Audit Jobs in Tampa

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

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..

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Job Information Humana Health Services Compliance Manager - Remote FL in Tampa Florida Description The Manager, Compliance (UM) conducts and summarizes compliance audits. The Manager, Compliance (UM) works within specific..

Description The Supervisor, Compliance (UM) conducts and summarizes compliance audits. The Supervisor, Compliance (UM) works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to..

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..

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...

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

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Tampa Florida Description The Quality (Non-Calls) Professional 2 ensures that..

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

Description The Quality (Non-Calls) Professional 2 ensures that products meet certain standards of quality. The Quality (Non-Calls) Professional 2 work assignments are varied and frequently require interpretation and independent determination..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Tampa Florida Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience..

Description The Quality (Non-Calls) Professional 2 ensures that products meet certain standards of quality. The Quality (Non-Calls) Professional 2 work assignments are varied and frequently require interpretation and independent determination..

Description The Manager, Compliance (UM) conducts and summarizes compliance audits. This role works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in..

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 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 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 Bilingual Quality Auditor in Tampa Florida 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..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Tampa Florida Description The Quality (Non-Calls) Professional 2 ensures that products meet specific..

Description The Quality (Non-Calls) Professional 2 ensures that products meet certain standards of quality. The Quality (Non-Calls) Professional 2 work assignments are varied and frequently require interpretation and independent determination..