Healthcare Documentation Specialist Jobs

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..

Job Information Humana Physician - CenterWell - Atlanta, GA in Colorado Springs Colorado Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care ..

Job Information Humana Physician - CenterWell - Atlanta, GA - College Park in Colorado Springs Colorado Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for ..

Job Information Humana Clinical Formulary Strategy Pharmacist - Work At Home in Colorado Springs Colorado Description Responsibilities The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing ..

Job Information Humana Medicare Appeals and Grievance Medical Director in Colorado Springs Colorado Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare ..

... Medicare Risk Adjustment Coding & Documentation Improvement Professional - WAH AZ ... Medicare Risk Adjustment Coding & Documentation Improvement Professional Our search is ... closely with providers to identify..

... clinical suspects and appropriate clinical documentation and accurate coding. This role ... adjustment methodology gained from HCC documentation, coding and provider education experience. ... result in improved accuracy of..

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Colorado Springs Colorado Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the ..

... whether services provided by other healthcare professionals are in agreement with ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Colorado Springs Colorado Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... Qualifications Bachelor's degree or significant..

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Colorado Springs Colorado Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and ..

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Colorado Springs Colorado Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical director work assignments ..

Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Colorado Springs Colorado Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review ..

Job Information Humana Manager, Pharmacy and Medical Trend in Colorado Springs Colorado Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..

... and concurrent reviews to identify documentation improvement opportunities according to CMS ... clinical suspects and appropriate clinical documentation and accurate coding. Candidate MUST ... for identifying the impact of..

Job Information Humana FP&A Lead, Medicaid Market in Colorado Springs Colorado Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..

... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..

Job Information Humana Medical Director - S. Florida in Colorado Springs Colorado Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately ..

... is looking for an experienced Healthcare Investigator to join its industry ... enforcement authorities. Assembles evidence and documentation to support successful adjudication, where ... areas Bachelor's degree or significant..

Job Information Humana Clinical Pharmacy Lead, Remote in Colorado Springs Colorado Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive ..

... of coding practices and clinical documentation, grievance and appeals processes, and ... whether services provided by other healthcare professionals are in agreement with ... Delivery Systems, health insurance, other..

... Processes Professional builds templates, standard documentation, policy and protocol, case studies, ... Qualifications Bachelor's Degree in Business, Healthcare Administration, Mathematics and/or related field ... implementation technical experience Medicaid experience..