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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 Claims Review Representative 2 in Winchester Virginia Description The Claims Review Representative 2 , will be part of the Medical Financial Recovery Overpayment Team which consists of making ..
Job Information Humana Compliance Lead - Remote in Winchester Virginia Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging ..
JOB TITLE: Operations Supervisor REPORTS TO: Service Center Manager OVERVIEW OF ROLE: To ensure the customer is always serviced first. To assist in achieving our growth goals and contribution dollar goals ..
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 ..
... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Winchester Virginia ... Virginia Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
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 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..
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 ..
Job Information Humana Manager, Fraud and Waste-Remote US in Winchester Virginia Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Winchester Virginia ... Virginia 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 ..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Winchester Virginia Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..
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 Compliance Professional- REMOTE (Anywhere in the US) in Winchester Virginia Description The Senior Compliance Professional ensures compliance with contractual, statutory, and governmental requirements. The Senior Compliance Professional ..
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 ..
Job Information Humana Fraud and Waste Investigator-Remote in US in Winchester Virginia Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and ..
Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in ..
Job Information Humana Storage Administrator- Storage and Backup in Winchester Virginia Description At Humana we are committed to helping people live healthy and happy through personalized care. Following the same mantra, ..
**Careers that Change Lives** **A Day in the Life** Responsibilities may include the following and other duties may be assigned. Provides oversight for the development and maintenance of quality programs, systems, ..
... Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in ... Virginia Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..