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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 The RN, Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The RN ..
... Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in ... Florida Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Job Information Humana Fraud and Waste Investigator-Remote in US in Saint Augustine Florida Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud ..
Platform Technical Architect Duties: The candidate will partner with established teams of skilled Salesforce professionals to build reliable, scalable and high-performing solutions on the Salesforce platform; used by over 5,000 employees. ..
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 Storage Administrator- Storage and Backup in Saint Augustine Florida Description At Humana we are committed to helping people live healthy and happy through personalized care. Following the same ..
Job Information Humana Claims Review Representative 2 in Saint Augustine Florida Description The Claims Review Representative 2 , will be part of the Medical Financial Recovery Overpayment Team which consists of ..
... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Saint Augustine ... Florida Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Saint Augustine ... Florida Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
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 ..
Internal Controls Analyst Duties: Develop reporting to evaluate the integrity and performance of financial systems, teams, and processes. Identify, capture, and monitor Key Performance Indicators (KPI) of the business. Develop 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 ..
Job Information Humana Manager, Fraud and Waste-Remote US in Saint Augustine Florida Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in Saint Augustine Florida Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance ..
Job Information Humana Nurse Auditor 2-Remote/Virtual in US in Saint ... Augustine Florida Description The Nurse Auditor 2 performs clinical audit/validation processes ... support optimal reimbursement. The Nurse Auditor 2..
Salesforce Engineering Manager Duties: Lead an established team of skilled Salesforce Developers to build reliable, scalable and high performing solutions on the Salesforce platform; used by thousands of internal employees and ..
Job Information Humana Compliance Lead - Remote in Saint Augustine Florida Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ..
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 Senior Cloud Security Engineer (virtual remote) in Saint Augustine Florida Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security ..
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 ..
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 ..