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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 ..
... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Atlanta Georgia ... Georgia Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Atlanta Georgia ... Georgia Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
... keen eye for improving business process and risk management and must ... Effectively communicate with, and educate, process owners and senior management on ... controls, an effective control environment,..
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..
Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being ..
Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in ..
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 ..
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 ..
u003cpu003eu003cstrongu003eOUR VISION: THE WORLD. SUBSCRIBED.u003c/strongu003eu003c/pu003enu003cpu003eu003cspan style=font-weight: 400;\u003eCustomers have changed. They’re looking for new ways to engage with businesses. Consumers today have a new set of expectations. They want outcomes, not ownership. ..
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 Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Atlanta Georgia Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
Job Information Humana Bilingual Quality Auditor in Atlanta Georgia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
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 ..
Responsibilities Plan and oversee the auditing process Allocate responsibilities to junior and staff auditors Review team members work for accuracy and compliance Perform effective risk and control assessments Complete audits on ..
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 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 Summary The Staff Auditor II conducts audits pertaining to ... reporting of results. The Staff Auditor II, working under the direction ... domestically and internationally. The Staff Auditor II..
Job Information Kindred at Home Senior Internal Auditor - Remote in Atlanta Georgia This position is remote and can be based anywhere in the United States. The Senior Internal Auditor makes ..
... Noncritical-Sensitive (NCS)/Moderate Risk Trust determination process National security Announcement number DCAA-22-LM-11429183 ... (CAATs)/Quantitative Methods (QM)/Data Analytics (DA) Auditor Uses a variety of professional ... Accountant or a Certified Internal..
The Healthcare Compliance Audit Manager position will require the ideal candidate to have a strong working knowledge in many facets of healthcare compliance (manufacturing, receipt, distribution, warehousing, order fulfillment). The position ..
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 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 ..