Audit Jobs

Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease..

Job Information Humana IT Exception Management Professional 2 in Jersey City New Jersey Description Are you a fit? Do you have a passion for being able to impact and influence..

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. This role will focus on..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Jersey City New Jersey Description The Medical Coding Auditor reviews medical claims submitted against..

Job Information Humana Manager, Compliance - Agent Investigation Unit in Jersey City New Jersey Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines..

Job Information Humana Bilingual Quality Auditor in Jersey City New Jersey Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Jersey City New Jersey Description The Quality (Non-Calls) Professional 2..

Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Jersey City New Jersey Description We are looking for a talented risk and compliance expert to help..

Description The DRG Validation 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..

Job Information Humana Quality Assurance Audit Professional 2 in Jersey City New Jersey Description Humana's Marketing Operations Quality Audit team is looking for a Quality Assurance Audit Professional 2 to..

Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor,..

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..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Jersey City New Jersey Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns..

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Jersey City New Jersey Description The Medical Coding Auditor extracts clinical information from a variety of medical records..

Description The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement...

Description The Medical Coding Auditor extracts clinical information from a variety of medical records, and reviews medical documentation for clinical indicators to ensure specific procedures meet clinical criteria and correct..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and..

Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guideline are met. The Medical Coding Auditor work assignments are varied and frequently..

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..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Jersey City New Jersey Description The Quality (Non-Calls) Professional 2 ensures that products..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Jersey City New Jersey Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Jersey City New Jersey Description The Associate Director of Clinical Audit, Payment Integrity uses their..