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Description The Market Development Professional 2 provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Market Development ..
... Medical Coding Auditor extracts clinical information from a variety of medical ... clarifies internal requests for medical information. Understands department, segment, and organizational ... or job related certification Additional..
Job Information Humana Inpatient Medical Coding Auditor ... Medical Coding Auditor extracts clinical information from a variety of medical ... contract payments in our payer systems, and by ensuring correct..
Job Information Humana Senior Provider Contracting Professional ... providers directly Multi-tasks in different systems Travel up to 20% In ... and network administration in a healthcare company Experience in contract..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual ... Medical Coding Auditor extracts clinical information from a variety of medical ... contract payments in our payer systems, and by ensuring correct..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual ... Medical Coding Auditor extracts clinical information from a variety of medical ... contract payments in our payer systems, and by ensuring correct..
... well as Providers and Health Systems throughout the Mid Atlantic Region ... and guidelines while analyzing coding information and medical records May participate ... policies, processes and procedures Additional..
PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Functions as part of the ..
Job Information Humana Telephonic Behavioral Health Care ... Word, Excel & PowerPoint, shared systems, troubleshoot and resolve general technical ... protect member PHI / HIPAA information. Additional information The department..
... for one of the leading healthcare organizations. Reporting to Director of ... by delivering personalized, simplified, whole-person healthcare experiences. The Associate Director, Full ... development of large-scale enterprise software..
... Medical Coding Auditor extracts clinical information from a variety of medical ... contract payments in our payer systems, and by ensuring correct claims ... clarifies internal requests for medical..
... and network administration in a healthcare company 2 years of project ... with Value Based Contracting Additional Information This position is considered remote/work ... protect member PHI / HIPAA..
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 ..
OverviewPOSITION SUMMARY:The ED RN Case Manager is responsible for identifying, assessing, planning and coordinating, implementing, monitoring and evaluating options and services across the continuum of care for individuals in assigned case ..
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,..
... and Developers across many Humana systems and partner with our business ... creating requirements to advance the systems. You will be responsible for ... Bachelor's Degree in Computer Science,..
Job Information Humana Nurse Auditor 2-Remote/Virtual in ... love auditing and investigating clinical/coding information, researching medical materials and sources ... CCS, CRC, RHIA or RHIT) Healthcare experience within a fraud..
Job Information Humana Quality Improvement Coordinator in ... department SharePoint and Teams sites information and folders Assists in prioritizing ... Assists in prioritizing requests for information in regard to the..