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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 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 ..
Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
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 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 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 ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Boston Massachusetts Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
... role of the Senior IT Internal Auditor includes these and more! ... and more! The Senior IT Internal Auditor develops, directs, plans and ... develops, directs, plans and evaluates..
Job Information Humana IT Exception Management Professional 2 in Boston Massachusetts Description Are you a fit? Do you have a passion for being able to impact and influence the direction of ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Boston Massachusetts Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Boston Massachusetts Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Boston Massachusetts Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..
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 ..
SENIOR INTERNAL AUDITOR *Hybrid work schedule. Mass General Brigham is an integrated health system founded by Brigham and Women's Hospital and Massachusetts General Hospital. In addition to its two academic medical ..
... The role of the IT Internal Auditor 2 includes these and ... includes these and more! Humana's Internal Audit Consulting Group has a ... opportunity for an exceptional IT..
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 ..
... for the role of Director, Internal Audit. In this role, you ... this role, you will lead internal audit initiatives for multiple business ... to the Vice President of..
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 Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Boston Massachusetts Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..
Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Boston Massachusetts Description We are looking for a talented risk and compliance expert to help build a best ..
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 Bilingual Quality Auditor in Boston Massachusetts Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
PURPOSE AND SCOPE:The Senior Auditor (SA) assists with any kind of audit up to and including issuing the final follow-up report together with one or more supervising auditors or higher levels ..