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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 Humana's recently created Clinical Resource Team is looking to grow the team with an Inpatient Senior Medical Coding Auditor roles! This is a unique team that's primary role is to ..
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 ..
Information Security Risk Analyst LendingTree is continuing to grow its Information Security team with the addition of an Information Security Risk Management Analyst. This position will perform a variety of security ..
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 Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Charlotte North Carolina Description The Quality (Non-Calls) Professional 2 ensures that ..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Charlotte North Carolina Description The Quality (Non-Calls) Professional 2 ensures that products meet specific ..
... ID: 279062 BASIC PURPOSE: A Field Auditor is tasked with ensuring that ... accurate data regarding our merchandise. Field Auditors will assist and supervise ... of the responsibilities of..
Description The Quality Audit Coordinator 2 analyzes and investigates quality issues. The Quality Audit Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Charlotte North Carolina Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; ..
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 ..