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Description The Health Information Management Professional 2 ensures data integrity for claim errors while maintaining ongoing research and special projects. The Health Information Management Professional 2 work assignments are varied and ..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior ... with governmental requirements. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities Seeking Senior..
... and other members of the healthcare team to interpret, adjust, and ... delivery of patient care in compliance with standards outlined in the ... philosophy. Adheres to the FMCNA..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... Kindred at Home Medical Records Specialist in Louisville Kentucky The primary ... function of the Medical Records Specialist is to provide clerical support ... / Privacy Program and Employee..
... whether services provided by other healthcare professionals are in agreement with ... of services provided by other healthcare professionals in compliance with review policies, procedures, and ... with a..
... philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and ... and other members of the healthcare team to interpret, adjust, and ... delivery of patient care in..
Description Humana Healthy Horizons in Kentucky is seeking a Community Health Worker to join our growing team. The Community Health Worker cultivates the organization's social community through community advocacy programs and ..
PURPOSE AND SCOPE:Knowledgeable, developing intermediate level technician performing normal functions under general supervision. Performs scheduled and unscheduled semi-routine repair, maintenance activities and operational condition of all medical equipment, water systems and ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
Job Information Humana CenterWell Physician in Louisville Kentucky Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating ..
... is looking for an experienced Healthcare Investigator to join its industry ... a thorough investigation to maintain compliance with Humana and governmental requirements ... external partners (Law Enforcement, Legal,..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
OverviewnPatient Access Educator is responsible for delivering individual and group on-the-job training to new and current patient access staff. Assist with the design and implementation of training tools, develop curricula and ..
Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..
OverviewnThis position is responsible for successfully managing all components of post-discharge denials as well as payer and RAC audits. Actively involved in CDMP and work closely with Coding Managers on DRG ..
OverviewnPoint of contact for the billing scrubber system, responsible for running reports, creating edits and rules to improve the clean claim rate submission. Cross trained and assist in the billing for ..
