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... and data mining, detects anomalies in data to identify and collect ... action. Responsibilities Where you Come In Humana is looking for an ... is looking for an experienced..
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Description The Nurse Auditor 2 performs clinical audit/validation processes ... audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, ... support optimal reimbursement...
Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and ... action. Responsibilities Where you Come In The..
... for performing clinical audits on medical record documentation for quality and ... with contract requirements as outlined in the Autism Care Demonstration (ACD) ... support the submitted charges. Comprehensive..
... Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud & Waste ... a team of professionals skilled in conducting prepayment and post payment ... proven..
