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Description Do you have medical coding experience? Are you looking for a virtual position that allows the flexibility of working at home? Humana is hiring a Medical Coding Auditor. In this ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation, and billing for services rendered, is complete, compliant and accurate to support optimal reimbursement. The Nurse ..
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 ..
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 Medicare Enrollment Representative 2 - Remote in Louisville Kentucky Description The Enrollment Representative 2 processes applications from members, enrolls them on company platforms, and transmits enrollment to Center ..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Description The Fraud Investigation Technician 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud Investigation Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. ..
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 Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Louisville Kentucky ... Kentucky Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Job Information Humana Clinical Auditor Registered Nurse Care Management or Utilization Management in Louisville Kentucky Description Humana Healthy Horizons in Ohio is seeking a Utilization and Case Management Clinical Auditors. This ..
Job Information Humana Nurse Auditor 2-Remote in KY/IN in Louisville ... Louisville Kentucky Description The Nurse Auditor 2 performs clinical audit/validation processes ... support optimal reimbursement. The Nurse Auditor 2..
Job Information Humana Quality Compliance Nurse Professional 2 - Louisville, KY in Louisville Kentucky Description The Quality Compliance Nurse Professional 2 uses quality improvement methodology to analyze data and works collaboratively ..
Job Information Humana Licensed Behavioral Health Professional - Quality Audit in Louisville Kentucky Description Humana Healthy Horizons in Ohio is seeking a Licensed Behavioral Health Quality Audit Professional. This position ensures ..
... Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in ... Kentucky Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Job Information Humana Senior Compliance Registered Nurse in Louisville Kentucky Description Humana Healthy Horizons in Ohio is seeking a Senior Compliance Nurse. This position ensures mandatory reporting for Case Management and ..
... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Louisville Kentucky ... Kentucky Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
OverviewnThe System Healthcare Analyst, Controlled Substance Accountability: Audit and Metrics provides support for audit and investigation activities plus aggregation and analysis of metrics data for the medication diversion surveillance program.nMajor job ..
