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Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding..
Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied..
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..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in San Juan Puerto Rico 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..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records, and reviews medical documentation for clinical indicators to ensure specific procedures meet clinical criteria and correct..
Description Do you appreciate continuous learning and working in a team environment? Do you thrive in an environment in which you apply critical thinking skills? Do you enjoy developing and..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in San Juan Puerto Rico Description The Medical Coding Auditor extracts clinical information from a variety of medical records..
Job Information Humana Manager, Compliance - Agent Investigation Unit in San Juan Puerto Rico Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement...
Description Do you appreciate continuous learning and working in a team environment? Do you thrive in an environment in which you apply critical thinking skills and identify improvements or best..
Job Information Humana Quality Assurance Audit Professional 2 in San Juan Puerto Rico Description Humana's Marketing Operations Quality Audit team is looking for a Quality Assurance Audit Professional 2 to..
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..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in San Juan Puerto Rico Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns..
Description Humana's recently created Clinical Resource Team is looking to grow the team with an Inpatient Senior Medical Coding Auditor roles! This is a unique team that's primary role is..
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..
Position SummaryCheck figures, postings, and documents for accuracy. Record, store, access, and/or analyze computerized financial information. Control and secure cash and cash equivalents for property according to cash handling policy..
Description Humana's Provider Payment Integrity organization is looking for a Senior Vendor Management Professional to join the Data Mining Vendor Management team! As the Senior Vendor Management Professional you will..
Description The DRG Validation 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..
Description The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where..
Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in San Juan Puerto Rico Description We are looking for a talented risk and compliance expert to help..
Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. This role will focus on..
