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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 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 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 Information Humana Medical Coding Coordinator 3- Remote USA in Green Bay Wisconsin Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate ..
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 ..
Job ID 21000MD4Available 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. ..
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 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 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 Neenah, WI - 1200 - Neenah, WI Position Type Part Time Salary Range $30.00 - $35.00 Hourly Yoga Instructor Let what you love be what you do. Become a ..
$5000 Sign on Bonus!!! Assigns diagnostic and procedural codes to patient records using ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes. DEFINITION: A Coding Consultant, Inpatient – Level 3 codes complex cases for all ..
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 ..
Job Location Neenah, WI - 1200 - Neenah, WI Position Type Full Time Salary Range $47,500.00 - $48,000.00 Salary/year There's a spot on our team waiting for you! Become a Team ..
... your commute We Are Hiring: Certified Nursing Assistant (CNA)- System Float- ... Diploma or equivalent Inpatient C.N.A.: Certified Nursing Assistant in the State ... Apply Now ProHealth Care, Inc..
... Adjustment team, the Outpatient Risk Coder works remotely in collaboration with ... coding performance. The Outpatient Risk Coder is a valuable resource in ... healthcare or equivalent work experience...
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 CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
Healthcare Data Analyst Salary: $80,000-$90,000/year, based on experience Position Details: Hours: Full Time, 9a - 5p Monday - Friday Location: Oakbrook, IL Responsibilities: Understand health care operations and systems (patient databases, ..
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 ..