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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 ..
Description The Medical Coder extracts clinical information from a ... to patient records. The Medical Coder assumes ownership and leads advanced ... seeking a hard-working and dedicated Certified Professional Coder..
Description The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk adjustment coding and medical record document requirements. This role acts as the second line of defense by providing oversight ..
Outpatient Risk Coder – National This position reports ... Adjustment team, the Outpatient Risk Coder works remotely in collaboration with ... coding performance. The Outpatient Risk Coder is a valuable..
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 Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., ..
PURPOSE AND SCOPE:Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with ..
Job Information Humana House Calls Nurse Practitioner-Bilingual (Field Based) in Tampa Florida Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers ..
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 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 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 Information Humana Coding Educator 2 - Must reside in FL Panhandle area in Tampa Florida Description The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education ..
**Careers that Change Lives** Interested in a remote clinical sales role with flexible working arrangement? We have an unique opportunity for an experienced and motivated clinical sales professional to join our ..
Job Information Humana Remote Medical Coder in Tampa Florida Description The ... Tampa Florida Description The Medical Coder extracts clinical information from a ... to patient records. The Medical Coder..
Job Information Humana Nurse Practitioner in Tampa Florida Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating ..
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 ..
Job Information Humana Medical Coder - Land O Lakes in ... whole. Responsibilities As a Medical Coder , you will extract clinical ... sequencing of codes Required Qualifications Certified medical..
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 ..
