Healthcare Documentation Specialist Jobs in Glen Allen

Description The Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other ..

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

... hours as-needed. The On-Call Scheduling Specialist performs varied activities and moderately ... of the branch, the Scheduling Specialist may be responsible for part ... Ensures that all required pre-employment..

... is looking for an experienced Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... areas Bachelor's degree or significant..

... the global leader in dialysis healthcare, we form bonds that enable ... a member of the interdisciplinary healthcare team, supporting the FMCNA commitment ... guidelines. Maintains complete and accurate..

OrthoVirginia, Virginia's largest provider of expert orthopedic and therapy care, is currently seeking a full-time, licensed Physician Assistant (PA) to join our team! This position is under Dr. Joshua Herzog. Along ..

Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..

... Certified Diabetes Care and Education Specialist-Remote-US in Glen Allen Virginia Description ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..

Description The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding ..

Job Information Humana FP&A Lead, Medicaid Market in Glen Allen Virginia Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Glen Allen Virginia Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare ..

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commercial, Medicaid). This position will ..

Job Information Humana Clinical Formulary Strategy Pharmacist - Work At Home in Glen Allen Virginia Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing ..

... of coding practices and clinical documentation, grievance and appeals processes, and ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Glen Allen Virginia Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and ..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Glen Allen Virginia Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments ..

... in large, complex, and integrated healthcare or payer setting Experience in ... or payer setting Experience in healthcare management and/or operations, Provider Practice/Healthcare or medical center operations Ability .....

... looking for an experienced Senior Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... Qualifications Bachelor's degree or significant..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Glen Allen Virginia Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..

Job ID 21000LYEAvailable Openings 1Position Specific Information Richmond South location - Ricmond, VA Dialysis experience is required RN license is required PURPOSE AND SCOPE: Supports FMCNA’s mission,vision, core values and customer ..

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 ..

Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..

... hours as-needed. The On-Call Scheduling Specialist performs varied activities and moderately ... of the branch, the Scheduling Specialist may be responsible for part ... Ensures that all required pre-employment..