- Humana (Concord, NH)
- …caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Baylor Scott & White Health (Concord, NH)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to ... coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS),...experience. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs routine coding quality reviews on all coders including third party suppliers… more
- Humana (Concord, NH)
- …of Humana's strategic and financial objectives. The Senior IT Internal Auditor provides value-added service by evaluating the efficiency and effectiveness of ... Humana's operational processes. The Senior IT Internal Auditor audits information systems technology and applications to ensure...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- Humana (Concord, NH)
- …caring community and help us put health first** The Senior Data Quality /Integrity Engineer understands end-to-end data processes and flows and uses that knowledge ... processes. **Location:** Remote In this key role on the Quality Systems Integration (QSI) team, the QSI Senior Data...and nonstandard supplemental data audit with NCQA and DTS auditor . **Use your skills to make an impact** **Required… more
- Hilton (Concord, NH)
- …owner relations, and more, for all of Hilton's unique brands\! As Manager, QA Auditor , you will support the team that leads our brands with the steadfast goal ... growing the Hilton portfolio\. On the Brands team reporting to Area Manager Quality Assurance, you will perform numerous QA audits and have responsibility for 100… more
- Highmark Health (Concord, NH)
- …with key organizational leaders and review and establish a program to ensure the quality of work performed consistently meets Institute of Internal Auditor (IIA) ... **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Certified Information System Auditor (CISA) + Certified Internal Auditor (CIA) + Certified… more
- Sutherland Global Services (Concord, NH)
- …personnel. You will also be expected to meet all Key Performance Indicators and Quality goals throughout Training and beyond. What you will be doing as a Claims ... Be responsible for effectively adjudicating claims to meet production, quality , and other metrics in accordance with policy/procedures and...information + Refer problem claims to a Lead and/or auditor for additional review + Make sure that the… more
- CVS Health (Concord, NH)
- …with regulatory requirements. The Manager develops strategies to manage workload, quality of reviews and process improvements. **Responsibilities:** Lead and mentor ... Certification - Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder… more