THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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... love auditing and investigating clinical/coding information, researching medical materials and sources ... credential (CPC, CCS, or CRC) Healthcare experience within a fraud investigations ... well as solid knowledge of..
Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Job Information Humana Inpatient Medical Coding Auditor ... Medical Coding Auditor extracts clinical information from a variety of medical ... contract payments in our payer systems, and by ensuring correct..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual ... Medical Coding Auditor extracts clinical information from a variety of medical ... contract payments in our payer systems, and by ensuring correct..
... for one of the leading healthcare organizations. Reporting to Director of ... by delivering personalized, simplified, whole-person healthcare experiences. The Associate Director, Full ... development of large-scale enterprise software..
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 ..
... and network administration in a healthcare company 2 years of project ... with Value Based Contracting Additional Information This position is considered remote/work ... protect member PHI / HIPAA..
Job Information Humana Quality Improvement Coordinator in ... department SharePoint and Teams sites information and folders Assists in prioritizing ... Assists in prioritizing requests for information in regard to the..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual ... Medical Coding Auditor extracts clinical information from a variety of medical ... contract payments in our payer systems, and by ensuring correct..
Job Information Humana Care Manager, Registered Nurse, ... ongoing needs. Providing actionable data, information, and support to assist the ... the member's care needs. Integrating information collected by the CCE..
... filing grievances and appeals. Provides information to members related to MCO ... and benefits. Provides members with information and/or referrals to community resources. ... Excel, PowerPoint, Outlook and Word..
... Enters and maintains pertinent clinical information in various medical management systems. Understands own work area professional ... Excel, PowerPoint, Outlook, and Word, systems and platforms. Ability to troubleshoot .....
Job Information Humana Provider Contracting Professional 2 - OH Medicaid in Lima Ohio Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health provider contracts under the Ohio Medicaid ..
... and Developers across many Humana systems and partner with our business ... creating requirements to advance the systems. You will be responsible for ... Bachelor's Degree in Computer Science,..
Description The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health provider contracts under the Ohio Medicaid program. The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement ..
Job Information Humana Care Guide - Physical ... filing grievances and appeals Provides information to members related to MCO ... and benefits Provides members with information and/or referrals to community..
... Medical Coding Auditor extracts clinical information from a variety of medical ... contract payments in our payer systems, and by ensuring correct claims ... clarifies internal requests for medical..
Job Information Humana Senior Provider Contracting Professional ... providers directly Multi-tasks in different systems Travel up to 20% In ... and network administration in a healthcare company Experience in contract..
Job Information Humana Senior Provider Contracting Professional ... and network administration in a healthcare company Behavioral health contract negotiation ... with Value Based Contracting Additional Information This position is remote/work..
Job ID 21000LWUAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
... well as Providers and Health Systems throughout the Mid Atlantic Region ... and guidelines while analyzing coding information and medical records May participate ... policies, processes and procedures Additional..
