Healthcare Compliance Auditor Jobs in Fayetteville

... in process consulting to support compliance within the Healthcare Services (HCS) organization. As a ... (HCS) organization. As a HCS Compliance & Risk Management Professional, you ... effectiveness and..

Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior Health 2) will audit CPT (Current Procedural Terminology) codes to ensure correct billing under TOM (TRICARE Operations Manual) policies in accordance ..

Description The Home Compliance & Risk Management Lead contributes ... strategy by supporting risk and compliance initiatives across Home Solutions teams ... Home Solutions teams within the Healthcare Services organization...

Description The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk ... clinics including serving as a compliance subject matter expert for revenue ... value-based care programs. The Senior..

Description The Risk Management Professional 2 a critical member within Humana's Third Party Risk Management Program (TPRM), a 2nd Line of Defense function, will be responsible for maturing our program by ..

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 ..

... Posting: Medical Risk Adjustment & Compliance Analyst: Coding Employment Type: Full ... only locally governed, community-owned, not-for-profit healthcare system. Our system includes a ... : To be the leading..

... 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,..

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 ..

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..

... Friday Job Posting: Coding Specialist: Compliance Analyst Employment Type: Full Time ... only locally governed, community-owned, not-for-profit healthcare system. Our system includes a ... : To be the leading..

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

... Type: Full Time Department : Compliance Shift : Monday - Friday ... Monday - Friday Job Posting: Compliance Auditor (RN) - Compliance (Full time: Monday-Friday) Employment Type: ... Center..

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..

... 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,..

... Job Posting: Coding Specialist - Auditor Employment Type: Full Time Location: ... only locally governed, community-owned, not-for-profit healthcare system. Our system includes a ... : To be the leading..

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

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..

Description The Senior Risk Management Professional will be responsible for managing third party risk management (TPRM) work streams to support Humana's overall TPRM Program. Responsibilities include risk identification, data analysis, process ..

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..

... only locally governed, community-owned, not-for-profit healthcare system. The System includes a ... : To be the leading healthcare system in Northwest Arkansas --- ... regulations, policies and procedures Assure..

Description The Risk Management Professional 2 a critical member within Humana's Third Party Risk Management Program (TPRM), a 2nd Line of Defense function, will be responsible for maturing our program by ..

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