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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 ..
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... Enters and maintains pertinent clinical information in various medical management systems. ... to research and understand complex information Preferred Qualifications Bachelor's degree Utilization ... associated analysis and conclusions. Additional..
Job Information Humana Clinical Analytics and Trend ... Minimum 2 years working in healthcare or a related industry 3 ... in business or public health Healthcare market, payer, or provider..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
Description The EAP Senior Counselor, Management Consultant provides ongoing and crisis intervention focused on the emotional, social, vocational, educational, health-related, developmental, and organizational concerns that impact daily lives. The EAP Senior ..
... protect member PHI / HIPAA information. Preferred Qualifications Master's degree Recruiting ... requires a Visa Sponsorship Additional Information Interview Format: As part of ... be using an exciting interviewing..
... protect member PHI / HIPAA information. Must be passionate about contributing ... searches Previous CRM experience Additional Information Interview Format: As part of ... be using an exciting interviewing..
... Electronic Questionnaire for Investigation Processing). Healthcare professional with a minimum of ... case management, clinics and/or other healthcare settings. Above average written and ... (see details below under Additional..
... lasting, positive changes in the healthcare industry. As a clinical informaticist ... to design or implement health information technology applications to enhance care management ... to translate data into..
Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..
... acumen to solve for the healthcare challenges of today. The Clinical ... years or more working in healthcare or a related industry 3 ... in business or public health..
... to provide accurate and timely information for strategic and operational decisions. ... At least one year of healthcare experience with a FSA designation, ... designation, or 3 years of..
... 1-2 years operational experience in healthcare/managed care Ability to manage enterprise ... Six Sigma Green Belt Additional Information As part of our hiring ... be using an exciting interviewing..
... Coding Coordinator 2 extracts clinical information from a variety of medical ... clarifies internal requests for medical information. Decisions are typically focus on ... a production driven environment. Additional..
Description The Senior Nursing Educator plans, directs, coordinates, evaluates, develops, and/or delivers training and education programs for professional nursing personnel. The Senior Nursing Educator work assignments involve moderately complex to complex ..
... report, and communicate all audit information to delegates and required internal ... experience Vendor management experience Additional Information As part of our hiring ... be using an exciting interviewing..
... behavioral health, and/or ASD; a healthcare environment; and proven care management ... behavioral health, and/or ASD; a healthcare environment; and proven care management ... (see details below under Additional..
Description The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the ..
... behavioral health, and/or ASD; a healthcare environment; and proven care management ... (see details below under Additional Information) and upon offer will be ... skills. Bilingual a plus. Additional..
... Development Life Cycle (SDLC) and Information Technology Infrastructure Library (ITIL) frameworks used ... risks and issues unique to technology projects. Decisions are typically related ... Qualifications Bachelor's Degree in..
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 ..
... physician to request specific health information and/or to provide an update ... or assistance ( See Additional Information on testing). Bachelor's degree in ... coaching. Life coaching experience. Additional..
Description The Care Manager, Telephonic Behavioral Health 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 ..
