Humana is seeking a Nurse Auditor 2 to perform clinical audit/validation of medical records to ensure accurate diagnosis coding and compliant billing for optimal reimbursement. The role involves interpreting documentation, identifying high-risk HCCs, and recommending improvements.
The position is remote with occasional travel to Humana offices for training or meetings; typical hours are Monday–Friday, with start times in the home time zone. Requires RN license and inpatient care experience.
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