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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 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 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 ..
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..
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..
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... Rules and Regulations State and federal regulations regarding patient confidentiality Excellent ... workplace in accordance with applicable federal and state laws.,identifier:21000MDO,qualifications: PHYSICAL DEMANDS ... Rules and Regulations State and..
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..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Jersey City New Jersey Description The Quality (Non-Calls) Professional 2 ensures ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Jersey City New Jersey Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and ..
Job Information Humana Bilingual Quality Auditor in New York New York ... York Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..
Job Information Humana Bilingual Quality Auditor in Jersey City New Jersey ... Jersey Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Jersey Description The Medical Coding Auditor reviews medical claims submitted against ... CPT, HCPCS). The Medical Coding Auditor..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Jersey City New Jersey Description The Quality (Non-Calls) Professional 2 ensures that products meet ..