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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 ..
... by providing cardiac monitoring and virtual sitting services for patients cared ... takes place 24/7/365 at the Virtual Operations Center, designed to assist ... providing quality patient care. The..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Roanoke Virginia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
... POSITION WILL WORK AT OUR VIRTUAL MONITORING CENTER LOCATED AT 2301 ... by providing patient monitoring and virtual care services for patients across ... takes place 24/7/365 at the..
JOB SUMMARY Be at your best with an organization that equips you to do so. Whose people unite in making lives better. At Carilion Clinic, we help communities stay healthy and ..
JOB SUMMARY **This position is located in Roanoke, VA at Carilion Clinic Parkview** This position is a FLEX position; working any day/any shift This position contributes to the mission of Carilion ..
Description The Behavioral Health Market Development Advisor provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE/Employer Group product implementation, operations, contract compliance, and federal contract application submissions. The ..
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 ..
Description The Care Management Support Assistant 2 contributes to administration of Care Management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Job Information Humana Manager, Fraud and Waste-Remote US in Roanoke Virginia Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Roanoke Virginia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
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 ..
... customer engagement expertise in both virtual and in-person settings, utilize a ... utilize a systematic approach to virtual engagement (e.g., clear agenda, next ... the operation of digital and..
REQUISITION NUMBER: 86014 EMPLOYMENT STATUS: Flex SHIFT: Day/Evening SHIFT DETAILS: Mixture of virtual and in-person classes; mostly evenings JOB SUMMARY Make the most of your clinical skills at an organization that ..
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 SUMMARY **This position is located in Roanoke, VA at Carilion Clinic Parkview** THIS POSITION IS ELIGIBLE FOR A BONUS WHEN SUCCESSFUL CANDIDATE MEETS APPLICABLE GUIDELINES This position is full time ..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Roanoke Virginia Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Roanoke Virginia Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
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,..
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). ..
