Healthcare Compliance Auditor Jobs in Stamford

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...

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

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 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..

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 ..

... validate coding assignment is in compliance with the official coding guidelines ... and education to coders. Escalates compliance, risk-related issues to expedite mitigation. ... Clinical Pertinence, H & P..

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..

... 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 Information Humana Bilingual Quality Auditor in Bridgeport Connecticut Description The ... Connecticut Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..

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..

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

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..

Job Summary: The Credentialing Specialist is responsible for providing administrative support for the process of privileging and credentialing the medical staff at Westchester Medical Center. Performing primary source verification and ensuring ..

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 ..

... experience by increasing focus on healthcare services.OperationsResponsible for assisting pharmacist in ... of a pharmacist assists with healthcare service offerings including administering vaccines, ... exercises independent judgment to ensure..

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..

Posted: 23-Feb-22 Location: Stony Brook, New York Type: Full Time Categories: General Nursing Registered Nurse Sector: College / University Internal Number: 2876786 Nurse Manager - Adult Inpatient Psychiatry Position Summary At ..

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..

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..

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

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 ..

... 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,..

Inpatient Hospital Coding Compliance Auditor The Inpatient Hospital Coding Compliance Auditor will provide expert auditing services ... audits. Primary Responsibilities: Perform coding compliance and quality audits in support ... audits..