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24

Representative Jobs





Job info
 
Company
**********
Location
Canton, OH
Posted Date
Oct 31, 2020
Info Source
Employer  - Full-Time  90 

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 ..

 
Company
**********
Location
Canton, OH
Posted Date
Apr 21, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Analyst works on problems ..

 
Company
Humana Inc.
Location
Canton, OH
Posted Date
Sep 15, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
Renal Advantage Inc.
Location
Canton, GA
Posted Date
Aug 24, 2022
Info Source
Employer  - Full-Time  90  

Job ID 21000JM7Available 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. ..

 
Company
**********
Location
Canton, OH
Posted Date
Nov 27, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Canton, OH
Posted Date
Oct 12, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Canton Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

 
Company
**********
Location
Canton, OH
Posted Date
Apr 22, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Fraud and Waste-Remote US in Canton Ohio Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..

 
Company
**********
Location
Canton, OH
Posted Date
Aug 28, 2022
Info Source
Employer  - Full-Time  90  

Description Humana Healthy Horizons in Ohio is seeking a Care Guide/Care Guide Plus (Care Coach 1) who will assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness ..

 
Company
**********
Location
Canton, MS
Posted Date
Oct 28, 2021
Info Source
Employer  - Full-Time  90  

Job ID 21000IFOAvailable Openings 1Position Specific Information $15,000 SIGN ON BONUS PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement ..

 
Company
**********
Location
Canton, OH
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Canton Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..

 
Company
**********
Location
Canton, OH
Posted Date
May 13, 2023
Info Source
Employer  - Full-Time  90  

Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program to ..

 
Company
**********
Location
Canton, OH
Posted Date
Mar 23, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Canton Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

 
Company
**********
Location
Canton, OH
Posted Date
Mar 23, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Canton Ohio Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

 
Company
**********
Location
Canton, OH
Posted Date
Jun 24, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Canton, OH
Posted Date
Apr 10, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Canton, OH
Posted Date
May 06, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
Humana Inc.
Location
Canton, OH
Posted Date
Aug 24, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Canton Ohio Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and ..

 
Company
**********
Location
North Canton, OH
Posted Date
Feb 21, 2022
Info Source
Employer  - Full-Time  90  

Company Overview: Job Description: Patient Services Representative Merit Dental is now part of the Smile Brands family! Are you passionate about supporting a team dedicated to providing top notch dental care, ..

 
Company
**********
Location
Canton, OH
Posted Date
Oct 30, 2021
Info Source
Employer  - Full-Time  90  

Job ID 21000N08Available 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. ..

 
Company
**********
Location
Canton, OH
Posted Date
Apr 16, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Care Guide - Physical Health in Canton Ohio Description The Care Guide (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..

 
Company
**********
Location
Canton, OH
Posted Date
Jul 21, 2022
Info Source
Employer  - Full-Time  90  

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). ..

 
Company
**********
Location
Canton, OH
Posted Date
Jun 15, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Canton, OH
Posted Date
Nov 18, 2022
Info Source
Employer  - Full-Time  90  

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 ..

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