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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 Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
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 Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in ... Alabama Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Birmingham Alabama Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
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 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 ..
... of the Senior IT Internal Auditor includes these and more! The ... more! The Senior IT Internal Auditor develops, directs, plans and evaluates ... Responsibilities The Senior IT Internal..
Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding Auditor work assignments are varied and ... Come In The Medical Coding Auditor confirms..
... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Birmingham Alabama ... Alabama Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
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..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Birmingham Alabama Description The Quality (Non-Calls) Professional 2 ensures that products meet specific Centers ..
... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Birmingham Alabama ... Alabama Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Alabama Description The Medical Coding Auditor reviews medical claims submitted against ... CPT, HCPCS). The Medical Coding Auditor..
Description Do you appreciate continuous learning and working in a team environment? Do you thrive in an environment in which you apply critical thinking skills? Do you enjoy developing and maintaining ..
... Marketing Operations team, the QA Auditor reviews marketing communications for accuracy ... communications for accuracy errors and process adherence gaps prior to release. ... the accuracy review , the..
Description The Nurse Auditor 2 performs clinical audit/validation processes ... support optimal reimbursement. The Nurse Auditor 2 work assignments are varied ... is looking for a Nurse Auditor 2 Professional..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Birmingham Alabama Description The Quality (Non-Calls) Professional 2 ensures that products ..
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 ..
Description The Nurse Auditor 2 performs clinical audit/validation processes ... support optimal reimbursement. The Nurse Auditor 2 work assignments are varied ... of action. Responsibilities The Nurse Auditor 2 validates..
Description The Medical Coding Auditor reviews medical records to verify ... (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and ... Come In The Medical Coding Auditor confirms..
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..
Internal Reference Number: R1016725 Summary Responsible for completing cost report reopenings within established timeframes and ensuring that the quality of our work meets CMS expectations. Reopenings include review of various provider ..