Representative Jobs in Saint Augustine

Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..

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 ..

Job Information Humana Care Coach 1 - St. Johns County, FL in Saint Augustine Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain ..

Job ID 21000LJWAvailable Openings 1 PURPOSE AND SCOPE: Ensure the provision of quality patient care to all hospitalized patients in the most efficient manner in accordance with company policy. Provides direct ..

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). ..

Job ID 21000KFSAvailable Openings 1DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient’s future—as well as your own. Connect with ..

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 Manager, Fraud and Waste-Remote US in Saint Augustine Florida Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud 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 ..

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

Job ID 21000MU8Available Openings 1PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior ..

Job Information Humana Care Coach 1 - St Augustine/Palm Coast - FL in Saint Augustine Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or ..

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 ..

Job Information Humana Care Coach 1 - Volusia/Flagler County, FL in Palm Coast Florida Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal ..

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

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

Job Information Humana OB Care Management Support Assistant 2/Medicaid (Bilingual English/Spanish or Creole) Remote FL in Saint Augustine Florida Description The Care Management Support Assistant 2 contributes to administration of care ..

About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..

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

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 Nurse Auditor 2-Remote/Virtual in US in Saint Augustine Florida Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for ..

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

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 ..