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Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
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 ..
Description Humana Edge: Who we are Imagine using your workday to make a meaningful difference in people's lives. Envision working in an environment where you are not only encouraged to create ..
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 ..
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..
Job ID 21000F3RAvailable 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. ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Greenville South Carolina Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Greenville South Carolina Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Greenville South Carolina Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Greenville South Carolina Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy ..
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,..
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). ..
... health. Dedicated to simplifying the healthcare experience and helping people navigate ... and helping people navigate their healthcare journey, Author is leveraging digital ... a new path for the..
We are currently searching for Shift Supervisors to support the store management team. The role of the shift supervisor includes, but is not limited to : Ensuring delivery of superior customer ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
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 ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Greenville South Carolina Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Description Author, recently launched by Humana, is a service experience designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of a ..
COVERAGE REQUIREMENTS Nurse Practitioner (NP)nnntMarch 14thntOngoing sporadic datesnnnPOSITION DETAILS Nurse Practitioner (NP)nnntOutpatientntNP needed for accident and injury that also sees medical patientsntMostly vitals, some ibuprofen or antibioticsntHours: 9a-5p with one hour ..
Job Information Humana Manager, Fraud and Waste-Remote US in Greenville South Carolina Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
Job Status: Part-Time Warby Parker is looking for a high-energy, innovative, and caring Optometrist with a passion for delivering remarkable vision care in a collaborative environment. Our ideal candidate is a ..
Job Status: Full-Time Warby Parker is looking for a high-energy, innovative, and caring Optometrist with a passion for delivering remarkable vision care in a collaborative environment. Our ideal candidate is a ..