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Description Do you have medical coding experience? Are you looking for a virtual position that allows the flexibility of working at home? Humana is hiring a Medical Coding Auditor. In this ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding Auditor ..
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 ..
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. The ..
Description The Medical Coding Auditor extracts clinical information from a ... coding guidelines. The Medical Coding Auditor work assignments are varied and ... guidelines/procedures. As a Medical Coding Auditor for..
A key dimension of this role will be to coordinate with the Audit Managers and other team members to execute the audit process, including risk assessment, planning, audit execution and reporting ..
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 ..
A key dimension of this role will be to coordinate with GE Power Audit Managers and other team members to execute the audit process, including risk assessment, planning, audit execution and ..
Description The DRG Validation Auditor extracts clinical information from a ... patient records. The Medical Coding Auditor work assignments are varied and ... action. Responsibilities The DRG Validation Auditor confirms..
TITLE: Quality Auditor STATUS: Hourly DEPARTMENT: Quality REPORTS TO: Quality Engineer Purpose/Responsibility: To support the operations of the plant so that they can optimize the use of all resources in meeting ..
Job DescriptionCVS Healthu2019s Internal Audit Department serves the Audit Committee and assists management in achieving goals by conducting independent and objective assurance and consulting activities. Your time with CVS Healthu2019s Internal ..
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 National Medicaid clinical team is seeking a Director of Clinical Audit. This person will develop and lead teams that are responsible for managing clinical audit, working with markets to ..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Atlanta Georgia Description The Quality (Non-Calls) Professional 2 ensures that products ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Georgia Description The Medical Coding Auditor reviews medical claims submitted against ... CPT, HCPCS). The Medical Coding Auditor..
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 require ..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Atlanta Georgia Description The Quality (Non-Calls) Professional 2 ensures that products meet specific Centers ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Atlanta Georgia Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..
Job Information Humana Bilingual Quality Auditor in Atlanta Georgia Description The ... Georgia Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..
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..
... Career transition (CTAP, ICTAP, RPL) Federal employees who meet the definition ... a surplus or displaced employee. Federal employees - Competitive service Current ... Current or former competitive service..