Auditor Jobs in Lima

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 ..

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

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

... 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..

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

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..

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

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 ..

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 ..

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 ..

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

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

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 ..

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

Description The Senior Risk Management Professional identifies, analyzes, and works to mitigate potential sources of risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..

Description The Manager, Membership and Plan Services (MPS) Risk Management will be responsible to lead a team of risk professional associates to help identify risk, oversee implementation to drive operational excellence, ..

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 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. ..

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

Description The Supply Chain Professional 2 reports through Humana's Pharmacy Supply Chain and performs DSCSA (Drug Supply Chain Security Act) compliance related tasks in support of Humana's Pharmacy inventory receiving operations. ..

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