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... make a difference. The Regional Medical Liaison (RML or MSL) is ... as an extension of the Medical Affairs organization. RMLs are responsible ... and enhancing professional relationships with..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... variable factors. Responsibilities Job Title:..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g. CPT)..
... degree Advanced degree in a healthcare-related field Knowledge of NCQA accreditation ... & Health Promotion Accreditation, Multicultural Healthcare Distinction, and/or LTSS Distinction Auditing ... job as we are a..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The..
Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 ... verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are ... Where you Come In The..
Description The Medical Record Retrieval Representative (Risk Adjustment ... within the region and scans medical records into a secure system. ... accrual Tuition Reimbursement Responsibilities The Medical Records Retrieval Representative..
Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
... acumen to solve for the healthcare challenges of today. The Clinical ... Responsibilities Title : Clinical Trend Medical Director Assignment: Enterprise Clinical Management, ... is seeking a Clinical Trend..
... team with an Inpatient Senior Medical Coding Auditor roles! This is ... details and a passion for healthcare? Do you have a solid ... have a solid background in..
... review team is seeking a Medical Coding Auditor with a special ... review information provided in the medical records they must understand what ... this information confidently to other..
Description The Large Group Medical Underwriter computes rates for both renewing and prospective moderate to complex group accounts. The Large Group Underwriter 2 work assignments are varied and frequently require interpretation ..
... conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes ... (Scheduler) ensures sites with open medical records requests are contacted in ... more years of experience in..
Description The Medical Coding Coordinator 2 extracts clinical ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Job Information Humana Actuary, Risk and Compliance in Albany New York Description This Actuary role is a newly created role within the Senior Products Actuarial Compliance team focused on special Medicare ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... factors. Responsibilities Job Profile The..
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 ..
... the team with a Senior Medical Coding Auditor roles! This is ... details and a passion for healthcare? Do you have a solid ... have a solid background in..
Description The Vendor Quality Medical Director will manage clinical vendor ... Team. Responsibilities A full time Medical Director to manage clinical vendor ... to review quality audit findings, medical necessity..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Commercial requirements ... daily work. Responsibilities Title:..
... health. Dedicated to simplifying the healthcare experience and helping people navigate ... and helping people navigate their healthcare journey, Author is leveraging digital ... a new path for the..
