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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 ..
Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Knoxville Tennessee Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and ..
Description The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
... strategic product extensions, and translates research discoveries into usable and marketable ... strategic product extensions and translates research discoveries into concepts to test ... Management experience Specialty Pharmacy experience..
Radiation Oncology Opportunity in Metro Knoxville, TN!!Full-Time or Part-Time Candidates will be considered.Offering Opportunity for Board Certified Radiation OncologistDescriptionCenter is seeking a Board-Certified Radiation Oncologist with proton therapy experience to serve ..
Enjoy an incredible combination of big city excitement and small town southern charm. Home to a major southeast University and a vibrant downtown with revitalized neighborhoods, this is a regional hub ..
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 Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
Description The Medical Coding Coordinator 3 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 ..
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 ..
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 ..
Job Information Humana MEDICAL CODING COORDINATOR 3-Remote/Virtual in US in Knoxville Tennessee Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..
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 ..
Description The Lead Cloud Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Lead Cloud Architect works on problems of diverse scope and ..
Description The Care Management Support Assistant 2 contributes to administration of Care Management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Knoxville Tennessee Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
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 ..
Description: Location: Customer Service Agent - Call Center - PT in Knoxville, TN at TeamHealth **Location:** **Experience:** Not Specified **Job Description** Come join our team of dynamic professionals at Team Health ..
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). ..
n n Helpn n Requirementsn Conditions of Employmentn n n n ntU.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA ..
Posted: 02-Mar-22 Location: Knoxville, Tennessee Salary: Open Categories: General Nursing Internal Number: 9619 BASIC PURPOSE OF THE JOB Authority, responsibility and accountability for assessment, planning, implementation and evaluation of wound, ostomy ..