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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 ..
... audit/validation processes to ensure that medical record documentation and diagnosis coding ... and investigating clinical/coding information, researching medical materials and sources in order ... audit/validation process to ensure that..
Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 ... verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are ... Where you Come In The..
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 Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Winchester Virginia Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and ..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
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 ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in ... in Winchester Virginia Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
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 ..
Job ID 21000H48Available 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-Remote/Virtual in US in ... in Winchester Virginia Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
Description The Healthcare Financial Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The East Central Region is seeking a Healthcare ..
Job Information Humana Manager, Fraud and Waste-Remote US in Winchester Virginia Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Job Information Humana Quality Improvement Coordinator in Winchester Virginia Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..
Job Location Winchester, VA - 0430 - Winchester, VA Position Type Part Time Salary Range $14.00 - $17.00 Hourly There's a spot on our team waiting for you! Become a Team ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in ... in Winchester Virginia Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
... reasonable accommodation based on disability, medical condition, pregnancy, or religious belief ... offers a full range of medical, dental, and vision benefits. Eligible ... reactions, and respond appropriately •..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Winchester Virginia Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
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 Location Winchester, VA - 0430 - Winchester, VA Position Type Part Time Salary Range $14.00 - $17.00 Hourly Job Category Admin - Clerical Front Desk/Fitness Center Attendant Become a Front ..