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... Services (Medical Assisting and/or Medical Billing and Coding) general pool of ... and medical office emergencies. Medical Billing and Coding Adjunct Faculty responsibilities ... advanced coding, medical insurance, medical..
Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..
FT/40 hrs. Provide data entry, tracking, and filing of mental health services documentation in accordance with County Medi-Cal and Department of Mental Health standards and regulations. Assist in the quality assurance ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Cincinnati Ohio Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
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. Responsibilities ..
Job Information Humana Staff RX Clinical Programs Oncology Pharmacist in Cincinnati Ohio Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices that ..
Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..
Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..
Job Information Humana Call Center Pharmacy Claims Technician, Remote in Cincinnati Ohio Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... provider records ensuring appropriateness of billing practices. Prepares complex investigative and ... Qualifications Bachelor's degree or significant..
PURPOSE AND SCOPE: Supports the Organization’s mission, vision, core values and customer service philosophy. Adheres to the Organization’s Compliance Program, including following all regulatory and policy requirements.Assists physicians in performing a ..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... OH, 45219 OR - ST, Healthcare Contract - Full Time I'm ... Full Time I'm Interested Maxim..
PURPOSE AND SCOPE:Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Provides direction and guidance to the interdisciplinary team providing care to the Home Therapies patients to ensure ..
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. The ..
... is looking for an experienced Healthcare Investigator to join its industry ... provider records ensuring appropriateness of billing practices. Prepares investigative and audit ... areas Bachelor's degree or significant..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... Homecare Florence, KY, 41022 Homecare, Healthcare Contract - Full Time I'm ... Full Time I'm Interested Maxim..
Job Information Humana Manager, Fraud and Waste-Remote US in Cincinnati Ohio Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. Responsibilities There are 4 shifts available for this role. All ..
Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
POSITION FEATURES:We work only day-shift.No Call. No evening shift. No night shift. No holidaysDayton Interventional Radiology3075 Governor's Pl Blvd Suite 120Dayton, OH 45409Prefer: ACLS. Also experience with airway sedation and ability ..
CURRENT UC EMPLOYEES MUST APPLY INTERNALLY VIA SUCCESSFACTORS > HTTP://BIT.LY/UCEMPL Founded in 1819, the University of Cincinnati puts education into action, ranking among the nation's best urban public research universities. Home ..
Job Information Humana Associate Director, Site Reliability Engineering in Cincinnati Ohio Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, Site ..
