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Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Description The Nurse Auditor 2 performs clinical audit/validation processes ... support optimal reimbursement. The Nurse Auditor 2 work assignments are varied ... is looking for a Nurse Auditor 2 Professional..
... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Kansas City ... Kansas Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Kansas City Kansas Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex ..
... Information Humana Data Governance & Privacy Risk Management Lead-Remote, US in ... Description The Data Governance & Privacy Risk Management Lead is responsible ... managing the Data Governance and..
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 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 ..
Contract And Policy Compliance Specialist - Integrity And Compliance Duties: Monitoring, reviewing, and retaining contracts or policies and procedures on behalf of the organization. Oversee organizational contract or policy and procedure ..
... Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in ... Kansas Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
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 ..
... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Kansas City ... Kansas Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Job Information Humana Information Technology Risk Oversight Lead in Overland Park Kansas Description The Lead, Information Technology Risk Oversight, identifies, analyzes, monitors and minimizes areas of risk that pertain to information ..
... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Overland Park ... Kansas Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Job Information Humana Nurse Auditor 2-Remote/Virtual in US in Kansas ... City Kansas Description The Nurse Auditor 2 performs clinical audit/validation processes ... support optimal reimbursement. The Nurse Auditor 2..
Description Humana's Associate Vice President (AVP), Technology and Cybersecurity Risk works closely with all areas of Enterprise Information Protection (EIP), Internal Audit, Enterprise Risk Management, business units, regulatory agencies, and industry ..
Job Information Humana Director, Technology Risk Management in Overland Park Kansas Description The Director, Technology Risk Management is responsible for developing and managing effective technology risk management processes and for performing ..
Description The Fraud Investigation Technician 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud Investigation Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. ..
... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Overland Park ... Kansas Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
