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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 ..
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..
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..
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..
... 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..
... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Boston Massachusetts ... Massachusetts Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
... 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 ... of action. Responsibilities The Nurse Auditor 2 validates..
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 ..
... Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in ... Massachusetts 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 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 ..
... work. SM The Field Based-Compliance Auditor will work with our network ... as the Field Based Compliance Auditor will oversee the process, collection, and onsite audit requirements ... data..
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 ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Boston Massachusetts Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
PURPOSE AND SCOPE:The Senior Auditor (SA) assists with any kind ... of 8 audits annually as co-auditor some of which will require ... documentation in Galileo.Support of the auditor-in-charge in..
Inpatient Hospital Coding Compliance Auditor The Inpatient Hospital Coding Compliance Auditor will provide expert auditing services across various hospitals for Inpatient services. Review documentation and related coding of inpatient services, auditing ..
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 ..
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 ..
... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Boston Massachusetts ... Massachusetts Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Massachusetts Description The Medical Coding Auditor reviews medical claims submitted against ... CPT, HCPCS). The Medical Coding Auditor..