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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... join the Provider Payment Integrity-Clinical Audit team working remote anywhere in ... As the Fraud & Waste..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Baltimore Maryland Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
... is looking for an experienced Healthcare Investigator to join its industry ... billing practices. Prepares investigative and audit reports. Begins to influence department's ... o Able to collaborate with..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Baltimore Maryland Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
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, CPT) to patient records. The Medical Coding ..
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 ..
... mitigate risk associated with external audit reviews. Responsible for driving accuracy ... and/or Auditing experience in the Healthcare Industry Experience in a production ... a production goal-oriented environment within..
... packages, case mix analytical packages, audit impact accruals, uncompensated care data, ... efficient, and quality service to internal and external customers. 11. Participates ... clinical departments, hospital leadership, and..
... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, ... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2, ... include: Collaborate with the Quality..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Bethesda Maryland Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Bethesda Maryland Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Baltimore Maryland Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Bethesda Maryland Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
... determination processes and Medical Director audit processes. . Provide oversight and ... implementing market level strategies. Manage internal operational/functional relationships for your organization ... years of management experience within..
... looking for an experienced Senior Healthcare Investigator to join its industry ... practices. Prepares complex investigative and audit reports. Begins to influence department's ... o Able to collaborate with..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Bethesda Maryland Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Baltimore Maryland Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..