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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..
... 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..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Cincinnati Ohio Description The Quality (Non-Calls) Professional 2 ensures that products ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Cincinnati Ohio Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
... 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 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 ..
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 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 Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in ... Ohio Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
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 ..
... 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..
Job Information Humana Clinical Auditor Registered Nurse Care Management or Utilization Management in Cincinnati Ohio Description Humana Healthy Horizons in Ohio is seeking a Utilization and Case Management Clinical Auditors. This ..
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 Bilingual Quality Auditor in Cincinnati Ohio Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Ohio Description The Medical Coding Auditor reviews medical claims submitted against ... CPT, HCPCS). The Medical Coding Auditor..
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..
Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Cincinnati Ohio Description The Quality (Non-Calls) Professional 2 ensures that products meet specific Centers ..
... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Cincinnati Ohio ... Ohio Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Cincinnati Ohio ... Ohio Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
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..
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..
