Healthcare Representative Jobs in Knoxville

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 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 ..

Job ID 21000JVHAvailable Openings 1PURPOSE 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. ..

Job Information Humana Manager, Fraud and Waste-Remote US in Knoxville Tennessee Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

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 ..

Job Information Humana MEDICAL CODING COORDINATOR 3-Remote/Virtual in US in Knoxville Tennessee Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..

Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..

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,..

Job ID 21000M34Available Openings 1PURPOSE AND SCOPE: Supports the training and education of employees based in company facilities and programs within an assigned geographical area. Delivers standardized, competency based, training and ..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Knoxville Tennessee Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Knoxville Tennessee Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Knoxville Tennessee Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Knoxville Tennessee Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..

Job ID 21000LNVAvailable Openings 1PURPOSE 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. ..

... cultivating relationships with hospitals and healthcare professionals in order to promote ... If you have expertise in healthcare, sales/marketing, public relations, or have ... have experience as a pharmaceutical..

Job ID 21000M2BAvailable Openings 1PURPOSE 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. ..

... you grow or advance: Previous healthcare experience is not required to ... part of the future of healthcare, apply today.PRINCIPAL DUTIES AND RESPONSIBILITIES:As ... a member of the nephrology..

Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..

Job ID 21000MOCAvailable Openings 1DescriptionProvide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient’s future—as well as your own. Connect with ..

Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Knoxville Tennessee Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and ..

Abbott is a global healthcare leader that helps people live ... technologies spans the spectrum of healthcare, with leading businesses and products ... programs on CRM products to healthcare professionals...