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IT Healthcare Business Analyst * Greenwood Village, CO Long term contract role 9 months Strong Health Care Payer Operations experience required! This critical role will be supporting the operations functional areas ..
... help ensure improved accuracy of billing/coding documentation.u003c/pu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu003cstrongu003eESSENTIAL DUTIES AND RESPONSIBILITIES:u003c/strongu003eu003c/pu003enu003cpu003eThe key ... Clinical teamsu003c/pu003enu003cpu003eu0026bull; Act as the billing and coding expert for the ... compliance of state and federal..
u003cpu003eu003cstrongu003eThis job exists to u003c/strongu003eefficiently, effectively, and accurately convert patient encounters into reimbursable claims for timely payment from Clinicau0026rsquo;s payer mix.u003c/pu003enu003cpu003eAccept charges, review, analyze, and code diagnostic and procedural information that ..
JOIN OUR FAMILY OF CAREGIVERS HELPING SENIORS STAY SAFE & HEALTHY AT HOME Home Instead of South Denver and Littleton is seeking motivated, caring and experienced CAREGivers and CNA's. Whether you ..
Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..
... provider records ensuring appropriateness of billing practices. Prepares complex investigative and ... Required Qualifications Bachelor's degree in Healthcare or equivalent years of experience ... RN license 2 years of..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation, and billing for services rendered, is complete, compliant and accurate to support optimal reimbursement. The Nurse ..
Description Our search is focused on identifying a certified coder who will primarily be responsible for conducting prospective and concurrent reviews to identify documentation improvement opportunities according to CMS and ICD-10 ..
Description Responsibilities The Senior Quality Assurance (Home Health) Clinical Professional consults and collaborates with clinicians/nurses to ensure high accountability of compliance and quality and claims are being reviewed correctly. This position ..
Description Our search is focused on identifying an individual contributor who will take ownership of Medicare risk adjustment programs that fit best with our providers by implementing operational and clinical best ..
... currently seeking a junior level healthcare associate to join our national ... associate to join our national healthcare practice. Minimum qualifications include 2 ... 2 years of experience in..
Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team working remote/from home anywhere in the U.S. Responsibilities As a Board Certified ..
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 ..
Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior Health 2) will audit CPT (Current Procedural Terminology) codes to ensure correct billing under TOM (TRICARE Operations Manual) policies in accordance ..
Description Responsibilities The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of ..
... duties and functions of the billing/revenue cycle staff and ensures that ... AND RESPONSIBILITIES:u003c/pu003enu003cpu003eu0026bull; Manage revenue cycle, billing functions and staff, in a ... to effective teamwork within the..
Description Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Nurse Auditor roles! This is a unique team that's primary role is to quickly jump ..
Description Author, recently launched by Humana, is a service experience designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of a ..
Description Humana's recently created Clinical Resource Team is looking to grow the team with a couple Senior Nurse Auditor roles! This is a unique team that's primary role is to quickly ..
