Auditor Jobs in Birmingham

Description Humana's recently created Clinical Resource Team is looking to grow the team with a couple Senior Nurse Auditor roles! This is a unique team that's primary role is to quickly ..

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. The Nurse Auditor 2 work ..

15,985 Job Information Deloitte Audit Manager - Birmingham in Birmingham Alabama Are you an accounting professional with deep technical expertise and a passion for coming up with innovative solutions? Do you ..

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 well-being ..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Birmingham Alabama Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..

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 Medical ..

Internal Reference Number: R1016725 Summary Responsible for completing cost report reopenings within established timeframes and ensuring that the quality of our work meets CMS expectations. Reopenings include review of various provider ..

Description The Claims Quality Audit Representative 3 audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. The Claims Quality Audit Representative 3 performs advanced administrative/operational/customer ..

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 require ..

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..

Job Information Humana Quality Assurance Audit Professional 2 in Birmingham Alabama Description Humana's Marketing Operations Quality Audit team is looking for a Quality Assurance Audit Professional 2 to join working remote ..

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

Description Do you appreciate continuous learning and working in a team environment? Do you thrive in an environment in which you apply critical thinking skills and identify improvements or best practices? ..

Description Do you appreciate continuous learning and working in a team environment? Do you thrive in an environment in which you apply critical thinking skills? Do you enjoy developing and maintaining ..

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 coding ..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Birmingham Alabama Description The Quality (Non-Calls) Professional 2 ensures that products ..

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. The ..

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. The ..

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

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. The ..

Job Information Humana Quality Audit Professional 2 (Grievance & Appeals) -Remote, anywhere with-in Eastern Time Zone in Birmingham Alabama Description The Quality (Non-Calls) Professional 2 ensures that products meet specific Centers ..

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

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