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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 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 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..
PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network..
Job Information Humana IT Exception Management Professional 2 in Torrance California Description Are you a fit? Do you have a passion for being able to impact and influence the direction..
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,..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Torrance California Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Torrance California Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural..
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 Quality Assurance Audit Professional 2 in Torrance California Description Humana's Marketing Operations Quality Audit team is looking for a Quality Assurance Audit Professional 2 to join working..
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..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Torrance California Description The Medical Coding Auditor reviews medical claims submitted against medical records..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Torrance California Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience..
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 Manager, Compliance - Agent Investigation Unit in Torrance California Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures;..
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 Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Torrance California Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns..
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 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 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..
Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Torrance California Description We are looking for a talented risk and compliance expert to help build a..
