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Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation, and billing for services rendered, is complete, compliant and accurate to support optimal reimbursement. The Nurse ..
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Description The Senior Quality Assurance, Clinical Professional requires being both a nurse/RN and a certified Coder nurse as this position will be cross trained to review DRG (Diagnosis Related Group) audits ..
Job Information Humana Senior Fraud & Waste Investigator - Remote in Bridgeport Connecticut Description Are you looking to be a part of a Fortune 100 company with competitive salary, opportunity for ..
Description Risk Adjustment Coders are responsible for reviewing medical records, completing multiple audits, and special projects. Associates in this role work collaboratively with other departments. Responsibilities The Risk Adjustment Coder ensures ..
Description Responsibilities The Senior Quality Assurance (Home Health) Clinical Professional consults and collaborates with clinicians/nurses to ensure high accountability of compliance and quality and claims are being reviewed correctly. This position ..
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 Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..
Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..
**Job ID** 2022-159992 **JOB OVERVIEW** **_It makes me feel good knowing that we make the residents lives better. We laugh with them, cry with them, sing and dance with them we ..
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). ..
PMHNP needed for adult & adolescent (mostly adolescent) PHP and IOP work in Norwalk, CT. ONSITE! Daytime hours with no call coverage. 24 hours per week with flexible scheduling. Salary in ..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Bridgeport Connecticut Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Description The Senior Coding Educator identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. The Senior Coding Educator work assignments involve moderately complex to ..
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. Responsibilities ..
Description Author, recently launched by Humana, is a service experience designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of a ..
Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
Coder Educator The Coder Educator will be creating and delivering education to coders and providers. Ideal candidates will have a minimum of 7 - 10 years healthcare experience, the AHIMA ICD ..
Level Management Job Location LISA - SAIL Program - Meriden, CT Position Type Full Time Education Level Bachelors Degree Salary Range $54,000.00 - $65,000.00 Salary/year Travel Percentage License Required Job Shift ..
Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..
Medical Coder Specialties Coding Denials, ER, OBGYN, Surgical, E/M, Neurology, Neurosurgery, Oncology, Hematology, Orthopedic & Pathology & Multi-specialties We are hiring coders with at least three years experience in various medical ..
