Healthcare Compliance Auditor Jobs in Middletown, Ohio | HealthcareCrossing.com


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29

Healthcare Compliance Auditor Jobs in Middletown





Job info
 
Company
**********
Location
Cincinnati, OH
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

... Information Humana Medicaid Associate Director, Compliance Nursing in Cincinnati Ohio Description ... Ohio Description The Associate Director, Compliance Nursing reviews utilization management activities ... and abuse. The Associate Director,..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Mar 24, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Mar 31, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..

 
Company
Humana Inc.
Location
Cincinnati, OH
Posted Date
May 16, 2021
Info Source
Employer  - Full-Time  90  

Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... Healthy Horizons Mental Health Parity Compliance..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Mar 12, 2022
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Dec 05, 2022
Info Source
Employer  - Full-Time  90  

... is looking for an experienced Healthcare Investigator to join its industry ... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal,..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Nov 26, 2022
Info Source
Employer  - Full-Time  90  

Description The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are ... appropriate courses of action. The Compliance Nurse 2 will..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Mar 04, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana HCS Compliance & Risk Management Quality Audit ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit ... be responsible for executing the Compliance Oversight..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Jul 22, 2021
Info Source
Employer  - Full-Time  90  

Description The Contract Administrator (Compliance Lead) ensures compliance with governmental requirements. The Compliance Lead works on problems of ... substantial. Responsibilities The Contract Administrator (Compliance Lead) will provide strategic guidance..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Mar 04, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Compliance Registered Nurse in Cincinnati Ohio ... Ohio is seeking a Senior Compliance Nurse. This position ensures mandatory ... timely and accurately. Responsibilities Senior Compliance Nurse..

 
Company
Humana Inc.
Location
Cincinnati, OH
Posted Date
Jan 25, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..

 
Company
Humana Inc.
Location
Cincinnati, OH
Posted Date
Jun 03, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Bilingual Quality Auditor in Cincinnati Ohio Description The ... Ohio Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Apr 07, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Cincinnati Ohio Description The Senior Risk Management Professional a critical member within Humana's Third Party Risk Management ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Mar 04, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Licensed Behavioral Health Professional - Quality Audit in Cincinnati Ohio Description Humana Healthy Horizons in Ohio is seeking a Licensed Behavioral Health Quality Audit Professional. This position ensures ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Mar 04, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Clinical Auditor Registered Nurse Care Management or ... is completed. Conducts and summarizes compliance audits. Responsibilities The Clinical Auditor for the Care and or ... physician office,..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Apr 17, 2023
Info Source
Employer  - Full-Time  90  

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..

 
Company
Humana Inc.
Location
Cincinnati, OH
Posted Date
Sep 05, 2022
Info Source
Employer  - Full-Time  90  

... looking for an experienced Senior Healthcare Investigator to join its industry ... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal,..

 
Company
Humana Inc.
Location
Cincinnati, OH
Posted Date
Apr 25, 2022
Info Source
Employer  - Full-Time  90  

Description The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are ... appropriate courses of action. The Compliance Nurse 2 will..

 
Company
Humana Inc.
Location
Cincinnati, OH
Posted Date
Feb 18, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Quality Compliance Nurse Professional 2 - Louisville, ... Cincinnati Ohio Description The Quality Compliance Nurse Professional 2 uses quality ... Medicaid members. Responsibilities The Quality Compliance Nurse..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Aug 26, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... Columbus, OH. Responsibilities The Senior..

 
Company
**********
Location
Fairfield, OH
Posted Date
Jun 05, 2023
Info Source
Employer  - Full-Time  90 

PURPOSE AND SCOPE:Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Provides direction and guidance to the interdisciplinary team providing care to the Home Therapies patients to ensure ..

 
Company
**********
Location
Cincinnati, OH
Posted Date
May 02, 2022
Info Source
Employer  - Full-Time  90  

Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..

 
Company
**********
Location
Cincinnati, OH
Posted Date
Jun 11, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Compliance Professional 2 has responsibilities for ... documentation for quality and clinical compliance with contract requirements as outlined ... ensure all providers are in compliance based on..

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