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Description The Medical Coding Auditor Supervisor handles a combination of tasks, including extracting clinical information from a variety of medical records and assigning appropriate procedural terminology and medical codes (e.g., ICD-10-CM, ..
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. The ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Lancaster South Carolina Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Lancaster South Carolina Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience ..
Description The Claims Quality Audit Representative 3 audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. The Claims Quality Audit Representative 3 performs advanced administrative/operational/customer ..
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 Humana's ..
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 Medical ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Lancaster South Carolina Description The Medical Coding Auditor reviews medical claims submitted against medical records ..
Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Lancaster South Carolina Description We are looking for a talented risk and compliance expert to help build a ..
Job Information Humana Bilingual Quality Auditor in Lancaster South Carolina Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. ..
Job Information Humana Quality Assurance Audit Professional 2 in Lancaster South Carolina Description Humana's Marketing Operations Quality Audit team is looking for a Quality Assurance Audit Professional 2 to join working ..
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, Compliance ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Lancaster South Carolina Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; ..
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 Coding ..
Job Information Humana IT Exception Management Professional 2 in Lancaster South Carolina Description Are you a fit? Do you have a passion for being able to impact and influence the direction ..
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 Medical ..
Description Do you appreciate continuous learning and working in a team environment? Do you thrive in an environment in which you apply critical thinking skills? Do you enjoy developing and maintaining ..
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 the ..
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 well-being ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Lancaster South Carolina 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 (MSDRG/ APDRG)-Remote/Virtual in US in Lancaster South Carolina Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ..