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Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Description Responsibilities The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Missouri Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ... CPT, HCPCS). The..
Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding Auditor work assignments are varied and ... for an experienced medical coding auditor to..
... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Springfield Missouri ... Missouri Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
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 act ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Springfield Missouri Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Springfield Missouri ... Missouri Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
... Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in ... Missouri Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
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 ..
