Healthcare Claims Auditor Jobs in The Colony

Apply Now At Deloitte, your work will be challenging and meaningful. You'll have the chance to give back to your community and help the environment. You'll find the support, coaching, and ..

Actuarial Analyst II,III - Any Anthem Office location or Remote in United States - PS11071 New Location: United States Field: Actuarial Requisition #: PS11071 Post Date: 4 days ago Your Talent. ..

... (excluding medical risk management and healthcare regulatory matters) arising within an ... setting (e.g., employment-related issues; tort claims; collection cases; disciplinary actions; interpretation ... institution. Litigation Management manage all..

... to identify trends and review claims analysis for potential FWA, accuracy, ... Specialty, etc.) Strong understanding of pharmacy/healthcare claims, & knowledge of healthcare payment methodologies At least 2 .....

... can take you places. Our claims operations are the focal point ... and claim business rules. Include claims systems utilization, capacity analyses/planning and ... utilization, capacity analyses/planning and reporting,..

... uncashed checks research. Ensure that claims are properly investigated and adjudicated ... defined denials, over the limit claims as well as random audits ... higher) 1 years of medical..

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

Job Information Humana Manager, Fraud and Waste-Remote US in Dallas Texas 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 ... Texas Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..

Director, Ethics and Compliance The candidate will lead the Global Compliance Center of Excellence team to develop and document key processes, implement technology solutions, and promote best compliance practices to improve ..

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 ID 21000MTKAvailable Openings 1PURPOSE AND SCOPE: Identifies, analyzes and resolves complex Contractual Discrepancies affecting patient accounts receivable. PRINCIPAL DUTIES AND RESPONSIBILITIES: Principle responsibility is to maintain designated portfolio of insurer/payer ..

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 ..

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..

Senior Advisory & Monitoring Specialist – HHS/Regulatory Responsibilities: Serve as a subject matter expert on controls and compliance programs for HHS-regulated areas (e.g., Anti-Kickback Statute, False Claims Act, Billing & Coding ..

Job Code 2166967I Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare , were simplifying the health care experience, creating ..

... can take you places. Our claims operations are the focal point ... and claim business rules. Include claims systems utilization, capacity analyses/planning and ... utilization, capacity analyses/planning and reporting,..

VP Compliance Officer DUTIES: Develops initiates, maintains, and revises policies and procedures for the general operation of the Compliance Program and its related activities to prevent illegal, unethical, or improper conduct. ..

... what the doctor did Scrubbing claims • Create accurate billing by ... • Generate and send electronic claims • Manage and correct rejected ... • Manage and correct rejected..

... degree Minimum 2 years of healthcare fraud investigations and/or claims auditing experience Knowledge of healthcare payment methodologies Strong clinical experience ... their home. We are a healthcare company committed..

Job Code 2173414 Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Optum is a global organization that delivers care, aided by ..

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