- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation and independent… more
- Humana (Tallahassee, FL)
- …caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- Humana (Tallahassee, FL)
- …caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to determine appropriate procedural ... terminology and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the… more
- Humana (Tallahassee, FL)
- …Accountant, Certified Information Systems Auditor , or Certified Internal Auditor , Project Management certification, Healthcare Compliance Certification, etc. ... and help us put health first** Humana Healthy Horizons is hiring a Compliance Professional who will support efforts for overall Medicaid business by joining the… more
- NHS Management, LLC (Daytona Beach, FL)
- …and/or required by Administrator, Financial Specialists, Financial Specialist Consultants, Internal Auditor , or any other corporate or regulatory compliance ... and/or required by Administrator, Financial Specialists, Financial Specialist Consultants, Internal Auditor , or any other corporate or regulatory compliance … more
- Molina Healthcare (FL)
- …+ Nursing License (RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... quality member intervention initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality… more
- Humana (Tallahassee, FL)
- …as programs and initiatives are executed upon. Leveraging risk management and compliance frameworks, they will identify and analyze potential risks and sources of ... Management lead position will be responsible for providing risk management and compliance oversight of Risk Adjustment Operations, including the areas of Provider… more