Healthcare Compliance Auditor Jobs in Saint Charles

Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding Auditor ..

Description The Behavioral Health Parity Compliance Lead will play an integral ... of our Mental Health Parity Compliance Program. Responsibilities This role is ... Healthy Horizons Mental Health Parity Compliance..

Job Information Humana Bilingual Quality Auditor in Washington District Of Columbia ... Columbia Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..

Description The Compliance Lead ensures compliance with governmental requirements and works ... include: Responsible for effectiveness of compliance program which includes metrics, reporting, ... process improvements and automation to compliance..

... the Company's Section 404 (SOX) compliance efforts, including General IT controls. ... of the organization to ensure compliance with the organization's policies, procedures ... oversees the information technology and..

What You Will Do: Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations ..

Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Washington ... Of Columbia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..

Description The Director, IT Compliance audits the most complex new ... information systems procedures are in compliance with corporate standards. The Director, ... corporate standards. The Director, IT Compliance requires..

Job Information Humana Compliance Lead - Remote in Washington ... District Of Columbia Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of .....

Description The MarketPoint Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional works assignments involve moderately ... well-being Responsibilities The MarketPoint..

Job Information Humana Senior Compliance Professional - Medicaid State Reporting ... Of Columbia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being ..

Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..

... Marketing Operations team, the QA Auditor reviews marketing communications for accuracy ... the accuracy review , the auditor uses proof reading skills and ... the adherence review , the..

Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / ... for a talented risk and compliance expert to help build a ... IT leaders to ensure Humana's compliance..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Columbia Description The Medical Coding Auditor reviews medical claims submitted against ... CPT, HCPCS). The Medical Coding Auditor..

Description The DRG Validation Auditor extracts clinical information from a ... patient records. The Medical Coding Auditor work assignments are varied and ... action. Responsibilities The DRG Validation Auditor confirms..

Job Information Humana Senior Compliance Professional, Specialty Compliance in Washington District Of Columbia ... Of Columbia Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with..

Job Information Humana Manager, Compliance - Agent Investigation Unit in ... Of Columbia Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, ... with governmental requirements. The Manager,..

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being ..

Job Information Humana HCS Compliance & Risk Management Quality Audit ... action. Responsibilities As a HCS Compliance & Risk Management Quality Audit ... be responsible for executing the Compliance Oversight..