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Description The Large Group Medical Underwriter computes rates for both renewing and prospective moderate to complex group accounts. The Large Group Underwriter 2 work assignments are varied and frequently require interpretation ..
Job Information Humana Care Team Medical Director in Lancaster South Carolina ... Carolina Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in ... Lancaster South Carolina Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
... we do. The Divisional Chief Medical Officer (CMO) is an entrepreneurial ... team of regional & area medical directors and serve as dyad ... will report to the Chief..
Description The Medical Coding Coordinator 2 extracts clinical ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Job Information Humana Senior Medical/Financial Risk Clinical Professional in Lancaster ... South Carolina Description The Senior Medical/Financial Risk Clinical Professional is responsible ... development, implementation and monitoring of medical/financial risk...
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in ... Lancaster South Carolina Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in ... Lancaster South Carolina Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
Description The Medical Coding Coordinator 3 extracts clinical ... 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 Behavioral Health Medical Director makes determinations regarding prior ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical Directors..
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,..
Job Information Humana Associate Director, Technology Solutions in Lancaster South Carolina Description Responsibilities Job Description Seeking an experienced and motivated leader to join our team in the role of Associate Director, ..
Job Information Humana Lead - Technology Solutions Encounters in Lancaster South Carolina Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and ..
... for the PCO University. Monitor medical performance and provide guidance to ... years' experience in clinical practice Medical staff leadership experience for a ... to support choice in consumer..
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 Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
Job Information Humana Associate VP, Technology Solutions, Pharmacy in Lancaster South Carolina Description The Associate Vice President of Technology Solutions acts as a liaison and collaborates with the business and functional ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization ..
Job Information Humana Medical Coding Coordinator 3- Remote USA ... Lancaster South Carolina Description The Medical Coding Coordinator 3 extracts clinical ... information from a variety of medical records and..
... Business Support Coordinator 1 performs medical record content analysis to ensure ... stage for final distribution all medical records received into the Medical Record Review Department. Analyze content .....
... Elbert, Banks, Franklin County) The Medical Records Retrieval Specialist/ Risk Adjustment ... conducts quality assurance review of medical records and ICD-9/10 diagnosis codes ... perks for well-being Responsibilities The..
