• Medical Coding Auditor

    Humana (Columbia, SC)
    **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments...claim/encounter information + Support and participate in process and quality improvement initiatives **What Humana Offers** We are fortunate… more
    Humana (07/27/24)
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  • Claims Solutions Professional Auditor

    Intermountain Health (Columbia, SC)
    …Practitioner) thorugh AHIMA). Professional coding experience or medical billing experience. **Preferred Qualifications:** CPMA auditor certification, ... work together to provide a collaborative, friendly environment and provide quality and individualized service. Our Professional Claims Auditors leverage their… more
    Intermountain Health (07/26/24)
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  • Risk Adjustment Auditor Educator

    Centene Corporation (Columbia, SC)
    quality assurance auditing (ie ensure appropriateness and accuracy of ICD-9/ICD-10 coding ) for WellCare's Medical Coding Specialists. + Communicates QA ... in conjunction with other departments to include Provider Relations, Quality as well as the Medical Director...results to the Medical Coding Specialists with suggestions for improvement and re-training topics.… more
    Centene Corporation (05/10/24)
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