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... review, provider record updates, and audit preparation as defined by the ... updates are complete. 15% Manage internal correspondence control numbers. Request medical ... medical records. Print and prepare..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... join the Provider Payment Integrity-Clinical Audit team working remote anywhere in ... As the Fraud & Waste..
Job Information Humana Strategy Advancement Lead, Senior Products Actuarial in Dover Delaware Description The SPA Process and Models Lead supporting the execution of core Senior Product Actuarial processes and projects provides ..
... of Enterprise Information Protection (EIP), Internal Audit, Enterprise Risk Management, business units, ... to ensure engagements with key internal, regulatory and industry groups to ... and industry groups to..
... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, ... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2, ... include: Collaborate with the Quality..
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 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, CPT) to patient records. The Medical Coding ..
... 40) market leader in integrated healthcare whose dream is to help ... for the role of Director, Internal Audit. In this role, you will ... this role, you will..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Dover Delaware Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Manager, Compliance - Agent Investigation Unit ... in Dover Delaware Description The Manager, Compliance ensures compliance with governmental ... compliance with governmental requirements. The Manager, Compliance works..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Dover Delaware Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Humana Vendor Management Lead (Remote US) in Dover Delaware Description Humana's Medicaid Strategic Partnership team is looking for an experienced Vendor Management Lead to join working remote anywhere in ..
... mitigate risk associated with external audit reviews. Responsible for driving accuracy ... and/or Auditing experience in the Healthcare Industry Experience in a production ... a production goal-oriented environment within..
... determination processes and Medical Director audit processes. . Provide oversight and ... implementing market level strategies. Manage internal operational/functional relationships for your organization ... years of management experience within..
... is looking for an experienced Healthcare Investigator to join its industry ... billing practices. Prepares investigative and audit reports. Begins to influence department's ... o Able to collaborate with..
Description The Director, IT Compliance audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems ..
... and issues using data from internal and external sources. Supports market ... as Medicare, Dual SNPs and Healthcare reform opportunities. Engage with internal SMEs and proposal writers / .....
... Job Description The IT Project Manager 2 will lead the IT ... a strong ability to manage internal and external resources, remotely and ... with Information Security Risk Management,..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Dover Delaware Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
... appropriate responses to regulatory exams, internal and external audits, requests for ... in responding to regulatory and/or audit exams, a strong understanding of ... skills, both oral and written..
Job Information Humana Market Development Advisor (Remote US) in Dover Delaware Description Humana's Medicaid Strategic Partnership team is looking for an experienced Market Development Advisor to join working remote anywhere in ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... practices. Prepares complex investigative and audit reports. Begins to influence department's ... o Able to collaborate with..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Dover Delaware Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
