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The healthcare consultant will perform the following responsibilities: Conduct analysis of health plan and provider functional areas to identify impacts, opportunities and risks related to the implementation of ICD-10, create high ..
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 ..
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 ..
Save Refer friends Job description Commute time Overview: Location: Washington DC and surrounding communities. Pay: $16.00-$18.00/hr Bonus: Up to $500 per referral. Now hiring for full-time, part-time, live-in, and overnight shifts. ..
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 ..
Save job Refer friends Job description Commute time Description: This person will be on the phone with patients most of the day. They will be working in Medconnect and IDX to ..
Allied Health (1) Executive (81) General Nursing (2247) Nursing Support (144) Operations (311) Quality/Risk Management (20) Type Contract (0) Fellowship (0) Full Time (423) Locum Tenens (0) Part Time (13) Partnership ..
Job Information Humana Senior Fraud & Waste Investigator - Remote in Washington District Of Columbia Description Are you looking to be a part of a Fortune 100 company with competitive salary, ..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
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 ..
Job Location Washington D.C.- 7000 - Washington, DC Position Type Full Time Salary Range $43,000.00 - $45,000.00 Salary/year Description There's a spot on our team waiting for you! Become a Team ..
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 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 ..
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 ..
Job Location Washington, DC Metro Area - Washington, DC Position Type Internship Let what you love, be what you do. Become a Health Fitness Intern and make a difference in the ..
Job Location Washington D.C.- 6900 - Washington, DC Position Type Full Time Salary Range $45,000.00 - $47,000.00 Salary/year There's a spot on our team waiting for you! Become a Fitness Center ..
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). ..
Job Description ****Full time float position supporting clinic at 2240 M St NW and surrounding D.C. clinics***** As the largest retail health care provider in the nation, and an industry leading ..
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 Humana's Claims Cost Management (CCM) organization is seeking a Manager, Fraud & Waste to join the Provider Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud ..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Washington District Of Columbia Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns ..