Audit Jobs in South Carolina

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 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 Author, recently launched by Humana, is a service experience designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of..

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..

Description Author, recently launched by Humana, is a service experience designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Greenville South Carolina Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Lancaster South Carolina Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate..

Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor,..

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..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Lancaster South Carolina Description The Medical Coding Auditor reviews medical claims submitted against medical..

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..

Quality Control Auditor Position Overview Quality Control Auditor- Servicing is responsible for is responsible for conducting quality control reviews at RoundPoint for all servicing functions. The QC program ensures compliance..

Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guideline are met. The Medical Coding Auditor work assignments are varied and frequently..

Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Lancaster South Carolina Description We are looking for a talented risk and compliance expert to help build..

Job Information Humana Bilingual Quality Auditor in Lancaster South Carolina Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Greenville South Carolina Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Lancaster South Carolina Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate..

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..

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 The Claims Quality Audit Representative 3 audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. The Claims Quality Audit Representative 3 performs advanced..

Job Information Humana Manager, Compliance - Agent Investigation Unit in Lancaster South Carolina Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Lancaster South Carolina Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical..