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Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
... complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor ... diagnosis coding is accurate to support billed clinical diagnosis Applies clinical ... CCS, CRC, RHIA or RHIT)..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... & Contracting leadership to provide support through complex analytics..
... recruiting, and screening qualified home healthcare applicants within an assigned territory. ... and organizational staffing goals. Provides support and expertise on the entire ... non-exempt staff recruitment, preferably in..
Job Information Humana Quality Improvement Coordinator in Naples Florida Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities The Intern - Care Manager, Registered ..
Job Information Kindred at Home RN Clinical Manager in Estero Florida The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, analyzes, and ..
... providers directly Multi-tasks in different systems Travel up to 20% In ... and network administration in a healthcare company Experience in contract preparation ... groups, ancillary providers and/or hospital..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
... contract payments in our payer systems, and by ensuring correct claims ... their home. We are a healthcare company committed to putting health ... for optimal performance from Humana..
... contract payments in our payer systems, and by ensuring correct claims ... job as we are a healthcare company committed to putting health ... for optimal performance from Humana..
Job Information Humana Senior Provider Contracting Professional in Naples Florida Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts. The Senior Provider Contracting Professional ..
