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Hospital Bill Audit Coordinator- Nashville','26013-144504','United States-Georgia-Norcross-Shared Services - ... accordance with the Hospital Bill Audit by Third Party Payers Policy. ... reviews and maintain documentation of audit requests, current status,..
Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
... Medical Coding Auditors Assists the Audit Manager with data analysis, team management, ... guidelines Prepares written summaries of audit findings Presents verbal audit feedback and provides education upon .....
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 ..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... join the Provider Payment Integrity-Clinical Audit team working remote anywhere in ... As the Fraud & Waste..
Airport Concessions Manager Airport Concessions Manager - Compliance General Description and Classification Standards Manages tenant contractual obligations and operational aspects of concession tenants. This is an experienced managerial level charged with ..
... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, ... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2, ... include: Collaborate with the Quality..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
... Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical ... in compiling and presenting your audit findings? If you answered YES ... production based environment of clinical..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Atlanta Georgia Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
Job Information Humana Director, Behavioral Health Strategy in Atlanta Georgia Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Atlanta Georgia Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Senior Occupational Health ManagerAt Pilgrimu2019s, Safety Is A Condition, which means the safety of our team members comes first - always.We have implemented safety measures to prevent the spread of COVID-19. ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Atlanta Georgia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Bilingual Quality Auditor in Atlanta Georgia 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 Process Improvement Lead South Carolina Medicaid (Utilization and Case Management) in Atlanta Georgia Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Atlanta Georgia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
PURPOSE AND SCOPE:Responsible for the day-to-day program operations and supporting the growth of the assigned single site Home Therapies program in coordination with the Business Unit management, in-center staff and other ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Atlanta Georgia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
The Healthcare Compliance Audit Manager position will require the ideal ... knowledge in many facets of healthcare compliance (manufacturing, receipt, distribution, warehousing, ... position is responsible for developing audit methodologies..
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, CPT) to patient records. The Medical Coding ..
Location : US Type : Full-Time Salary : $19.00 - $23.00 / Hourly / DOE This is a full-time position that will be based from your home office, reporting to the ..