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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. The Utilization Management Nurse 2 work assignments ..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Montpelier Vermont Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, ..
We have exciting employment opportunities for remote HIM Coding Specialists on our Outsource Coding Team. Position Summary The HIM Coding Specialist will handle medical coding and data entry / abstraction for ..
Regional medical center & leader is seeking a full-time, experienced, BC/BE Ophthalmologist for Northern VT.* Full-time office-based ophthalmic and operative services including but not limited to diagnosis and treatment for patients ..
Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in Montpelier Vermont Description The Network Operations Lead maintains provider relations to support customer service activities through data integrity management and gathering ..
An orthopedic surgeon opportunity is now available with a hospital clinic in Vermont. This position is for upper extremities. There will be no trauma. Your call schedule will be 1:4. The ..
Job Information Humana Utilization Management Registered Nurse, RN 2 in Montpelier Vermont Description The Utilization Management Nurse applies a Person-Centered approach, works within specific guidelines and procedures; applies advanced technical knowledge ..
An orthopedic surgeon opportunity is now available with a hospital clinic in Vermont. This position is for total joints and general ortho. There will be no trauma. Your call schedule will ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records, and reviews medical documentation for clinical indicators to ensure specific procedures meet clinical criteria and correct coding ..
