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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 ..
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Description Job Description The IT Project Manager 2 will lead the IT M&A Security Remediation project management team. This role will actively manage stakeholder partnerships with a focus on mitigating risks ..
... Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in ... Ohio Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Description Introduction The 3rd Party Segment Lead will execute and lead a team of risk professionals in conducting cyber and regulatory-driven assessments and oversight of key 3rd Parties across designated business ..
Description KEY RESPONSIBILITIES: * Coordinates and assists in the review process of narratives, detailed procedure documents and the internal control matrix to ensure all business areas are completing annual reviews 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 ..
Job Information Humana Claims Review Representative 2 in Toledo Ohio Description The Claims Review Representative 2 , will be part of the Medical Financial Recovery Overpayment Team which consists of making ..
Job Information Humana Manager, Fraud and Waste-Remote US in Toledo Ohio Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Estate Tax Legal Specialist, GS 11-12 Duties: The candidate conducts independent field examinations of estate and gift tax returns involving legal, financial, investigative or other problems of substantial variety and complexity. ..
NF Tech Operations Manager The candidate leads the day-to-day of highly technical operations ensuring that an outstanding service experience is provided to the internal and external sales partners, firms, third-party administrators, ..
Description The Supply Chain Professional 2 reports through Humana's Pharmacy Supply Chain and performs DSCSA (Drug Supply Chain Security Act) compliance related tasks in support of Humana's Pharmacy inventory receiving operations. ..
Job Information Humana Storage Administrator- Storage and Backup in Toledo Ohio Description At Humana we are committed to helping people live healthy and happy through personalized care. Following the same mantra, ..
... will coordinate interactions between other Internal Audit staff, third-party consultants, the ... knowledge of IT and Operational internal controls into the oversight of ... to IT professional and LFG..
... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Toledo Ohio ... Ohio Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Description The Manager, Membership and Plan Services (MPS) Risk Management will be responsible to lead a team of risk professional associates to help identify risk, oversee implementation to drive operational excellence, ..
Transaction Execution Manager The candidate will lead the negotiation of principal customer facing contracts, including original contracts as well as post-contract agreements/documents. Develop and maintain relationships with customers’ commercial counterparts. Work ..
... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Toledo Ohio ... Ohio Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Description The Senior Risk Management Professional identifies, analyzes, and works to mitigate potential sources of risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..
Job Information Humana Compliance Lead - Remote in Toledo Ohio Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
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..
Job Information Humana Enterprise Transformation Lead - Office or Remote in Toledo Ohio Description The Enterprise Transformation Lead provides data-based strategic direction to identify and address business issues and opportunities. Provides ..