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23

Healthcare Claims Auditor Jobs in Ashburn





Job info
 
Company
**********
Location
Bethesda, MD
Posted Date
Nov 28, 2020
Info Source
Employer  - Full-Time  90  

... contract is responsible for processing claims for more than 6 million ... than 6 million members, the claims processing and financial management functions ... to an external vendor. The..

 
Company
**********
Location
Bethesda, MD
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Medicaid Associate Director, Compliance Nursing in Bethesda Maryland Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..

 
Company
**********
Location
Bethesda, MD
Posted Date
Apr 07, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
Humana Inc.
Location
Bethesda, MD
Posted Date
Mar 23, 2023
Info Source
Employer  - Full-Time  90  

... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Bethesda Maryland ... Maryland Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..

 
Company
**********
Location
Bethesda, MD
Posted Date
Jul 29, 2021
Info Source
Employer  - Full-Time  90  

... (ACD). The technician assists with claims review, provider record updates, and ... 30% Assist with submission of claims corrections and recoupments, while monitoring ... Qualifications 2 plus years of..

 
Company
Humana Inc.
Location
Bethesda, MD
Posted Date
Sep 02, 2021
Info Source
Employer  - Full-Time  90  

Description Humana's Claims Cost Management (CCM) organization is ... support our efforts for ensuring claims payment accuracy, so that our ... that our members receive quality healthcare at an affordable..

 
Company
**********
Location
Bethesda, MD
Posted Date
Apr 10, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of ..

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

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..

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

Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..

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

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Maryland Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ... CPT, HCPCS). The..

 
Company
**********
Location
Bethesda, MD
Posted Date
Dec 02, 2022
Info Source
Employer  - Full-Time  90  

... 5 or more years of healthcare revenue cycle management experience may ... for Medicare and Medicaid related claims) Experience with Auditing and monitoring ... with Auditing and monitoring of..

 
Company
**********
Location
Bethesda, MD
Posted Date
Apr 23, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Fraud and Waste-Remote US in Bethesda Maryland Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..

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

... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..

 
Company
**********
Location
Bethesda, MD
Posted Date
Sep 30, 2022
Info Source
Employer  - Full-Time  90  

Description The Nurse Auditor 2 will work on the ... lab audit concepts. The Nurse Auditor 2 will perform clinical audit ... waste, and abuse. The Nurse Auditor 2 work..

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

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

 
Company
**********
Location
Bethesda, MD
Posted Date
Sep 12, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..

 
Company
Humana Inc.
Location
Bethesda, MD
Posted Date
Mar 23, 2023
Info Source
Employer  - Full-Time  90  

... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Bethesda Maryland ... Maryland Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..

 
Company
**********
Location
Bethesda, MD
Posted Date
Feb 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Coding Auditor extracts clinical information from a ... coding guidelines. The Medical Coding Auditor work assignments are varied and ... guidelines/procedures. As a Medical Coding Auditor for..

 
Company
Humana Inc.
Location
Bethesda, MD
Posted Date
Oct 21, 2021
Info Source
Employer  - Full-Time  90  

... Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in ... Maryland Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..

 
Company
**********
Location
Bethesda, MD
Posted Date
Feb 23, 2022
Info Source
Employer  - Full-Time  90  

... medical background and reviews health claims. The Regional VP, Health Services ... years of management experience within Healthcare A current and unrestricted physician ... their home. We are a..

 
Company
**********
Location
Bethesda, MD
Posted Date
Oct 17, 2021
Info Source
Employer  - Full-Time  90  

... when they happen. The Nurse Auditor 2 validates and interprets medical ... of par and non-par provider claims to determine payment accuracy. Makes ... process improvements. Reviews and audits..

 
Company
**********
Location
Bethesda, MD
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

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..

 
Company
**********
Location
Bethesda, MD
Posted Date
Feb 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ... are met. The Medical Coding Auditor work assignments are varied and ... action. Responsibilities The Medical..

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