Auditor Jobs in Grandview Heights

Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..

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 Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

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 Senior Cloud Security Engineer (virtual remote) in Springfield Ohio Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..

Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in Springfield Ohio Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance Professional ..

Job Information Humana Compliance Lead - Remote in Springfield Ohio Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging ..

Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..

Job Information Humana Claims Review Representative 2 in Springfield Ohio Description The Claims Review Representative 2 , will be part of the Medical Financial Recovery Overpayment Team which consists of making ..

Description Role is open to US Remote This role will include managing a team of DevSecOps engineers, architects, testers, developers, and specialists who build and support our application security orchestration platform. ..

Description Introduction The 3rd Party Segment Lead will execute and lead a team of risk professionals in conducting cyber and regulatory-driven assessments and oversight of key 3rd Parties across designated business ..

Inpatient Hospital Coding Compliance Auditor The Inpatient Hospital Coding Compliance Auditor will provide expert auditing services across various hospitals for Inpatient services.  Review documentation and related coding of inpatient services, auditing ..

Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..

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

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

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

Job Information Humana Storage Administrator- Storage and Backup in Springfield Ohio Description At Humana we are committed to helping people live healthy and happy through personalized care. Following the same mantra, ..

Contract Specialist, GS 05-11 Duties: The candidate will develop procurement plans by reviewing previous history, market conditions, and specifications/technical data packages. Analyze and evaluate findings contained in audit reports and supports ..

Job Information Humana Fraud and Waste Investigator-Remote in US in Springfield Ohio Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and ..

Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..

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 Medical ..

Co-op - Quality/Safety (Spring 2022 Semester)','21013875','United States-Ohio-Sidney','','University Programs','Oct 6, 2021','!*! What to Expect in our Co-op Program: Expand your technical and professional skills in a real-world setting. Emerson co-ops are given ..

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