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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 Portsmouth New Hampshire Description The SPA Process and Models Lead supporting the execution of core Senior Product Actuarial processes and projects ..
... 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,..
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 ..
Job Information Humana Manager, Compliance - Agent Investigation Unit ... Portsmouth New Hampshire Description The Manager, Compliance ensures compliance with governmental ... compliance with governmental requirements. The Manager, Compliance works..
... 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..
Job Information Humana Market Development Advisor (Remote US) in Portsmouth New Hampshire Description Humana's Medicaid Strategic Partnership team is looking for an experienced Market Development Advisor to join working remote anywhere ..
... 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..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Portsmouth New Hampshire Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
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 ..
Job Information Humana Vendor Management Lead (Remote US) in Portsmouth New Hampshire Description Humana's Medicaid Strategic Partnership team is looking for an experienced Vendor Management Lead to join working remote anywhere ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Portsmouth New Hampshire Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ..
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 ..
... 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..
... 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..
... 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..
... 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 Inpatient Medical Coding Auditor-Remote/Virtual in US in Portsmouth New Hampshire Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
... 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 / .....
... risk, managing metrics and reports, internal consultation, and reporting to leadership. ... serve as a consultant to internal business partners to help advise ... management), Privacy, Risk Management, or..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Portsmouth New Hampshire Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
