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Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..
... medical coding auditor to handle provider disputes and appeals in a ... by increasing the accuracy of provider contract payments in our payer ... job as we are a..
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 ..
... as directed by the Clinical Manager. Confer with physician in developing ... with physician orders, under Clinical Manager's supervision. Revise plan in consultation ... Coordinate appropriate care, encompassing various..
... 40) market leader in integrated healthcare with a clearly defined purpose ... Experience - Shopping, Enrollment, & Self-Service. In this role, you set ... Humana.com marketing, shopping, enrollment, and..
... 50 market leader in integrated healthcare delivery. As a company whose ... well-being partner. Through product and service offerings anchored in a whole-person ... Humana is seeking an accomplished..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Norfolk Virginia Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Description The Manager, Risk Adjustment oversees coding educators ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific ... schedules and goals. Responsibilities The Manager, Risk Adjustment oversees..
... West Virginia. The Clinical Laboratory Manager will be hired to manage ... anticipated that the Clinical Laboratory Manager will be responsible for completing ... Department of Health. The laboratory..
... medical coding auditor to handle provider disputes and appeals in a ... by increasing the accuracy of provider contract payments in our payer ... their home. We are a..
... any applicable licensure/certification requirement, applicable healthcare standards, governmental laws and regulations, ... contact with patients, physicians, clinical manager(s), other members of the healthcare team in a timely manner .....
... 40) market leader in integrated healthcare with a clearly defined purpose ... Vice President, Digital Experience - Self-Service. In this role, you set ... execute the vision of Humana.com..
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 ..