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Description The Senior Grievances & Appeals Professional will be dedicated to the State of Oklahoma business managing inquiries by conducting a comprehensive analytic review of contract requirements. The Senior Grievances & ..
We’re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the ..
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 ..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... a Bachelor's degree in Business, Healthcare, or related field and/or 8 ... 5 years' experience in the..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Tulsa Oklahoma Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Description Are you passionate about discovering opportunities to improve coding efficiencies and mentoring application developers in proper coding techniques for mainframe programs? Do you have a solid Cobol, DB2, and CICS ..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..
Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Medicaid Members ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Tulsa Oklahoma Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
Certified Midwife Opportunity with Mercy Hospital Oklahoma City and the NEW Love Family Women's Center (opening Fall 2023) Mercy Clinic is currently seeking a certified midwife to join our dynamic, innovative ..
Description The DRG Validation 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 Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Tulsa Oklahoma Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Acute Care Certified APRN OR Physician Assistant Hospitalist Opportunity in Healdton, Oklahoma Mercy Hospital Healdton is actively seeking an Acute Care Licensed/Certified Nurse Practitioner OR Physician Assistant to join our hospitalist ..
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 ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Tulsa Oklahoma Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
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 ..
Virtual Primary Care Advanced Practitioner Opportunity in Oklahoma City, OK! This Opportunity Offers:Mon-Fri - 8am-5pmOutpatient Clinic Full-time positionSystem-wide Epic EMRComprehensive benefits including health, dental, vacation, 401K and CMERelocation assistance and Malpractice ..
Description Humana is seeking a Physician Strategy Sr. Professional to join our growing team. The Physician Strategy professional will be responsible for setting and implementing strategy for internal and external physician ..
Critical Care Certified APRN OR Physician Assistant Opportunity in Tishomingo, Oklahoma Mercy Hospital Tishomingo is actively seeking an Acute Care Licensed/Certified Nurse Practitioner OR Physician Assistant to join our hospitalist team ..
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. Responsibilities ..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Tulsa Oklahoma Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..