Coding Compliance Jobs in Dover

... to ensure high accountability of compliance and quality and will work ... Knowledge of inpatient and outpatient coding conventions and standards Working knowledge ... ED, ICU preferred) Extensive regulatory..

Description The Medical Coding Auditor extracts clinical information from ... to patient records. The Medical Coding Auditor work assignments are varied ... of action. Responsibilities The Medical Coding Auditor confirms..

Job Information Humana Compliance (UM) Coordinator 2 in Dover ... in Dover Delaware Description The Compliance (UM) Coordinator 2 conducts and ... Coordinator 2 conducts and summarizes compliance audits. The..

Description This role will help drive the transition of Humana IT to a DevSecOps organization. This transition impacts culture, tools, automation, and development practices. In this role you will be on ..

Job Information Humana Sr. DevOps Cloud Engineer in Dover Delaware Description Do you thrive on working on leading edge technology such as AKS and Kubernetes? Do you embrace the DevOps workstyle ..

... Interoperability, 2) serve as a coding expert to manage escalations or ... acumen, and industry-standard clinical / coding guidance to ensure physician and ... position provides supportive clinical and..

ChristianaCare is looking to hire a fulltime Surgical Scheduler for a Women's Health Office in Chadds Ford, PA. As a surgical scheduler you would schedule procedures, in collaboration with providers and ..

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 The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive clinically appropriate and medically necessary services. All ..

... The Manager, Risk Adjustment oversees coding educators and quality assurance audits ... The Manager, Risk Adjustment oversees coding accuracy and the risk adjustment ... team of up to 11..

Job Information Humana Associate Director, Provider Data Interoperability in Dover Delaware Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and ..

Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

... background and industry-standard clinical / coding guidance to ensure physician and ... position provides supportive clinical and coding expertise across the teams in ... those functions Serve as a..

Description The Claims Educator is responsible for ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of claims. The Claims Educator manages claims operations that involve ..

Job Information Comcast Xfinity Retail Assistant Store Manager - Sign On Bonus - Subject to Terms and Exclusions in Dover Delaware Comcast brings together the best in media and technology. We ..

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Dover Delaware Description Humana is looking for an experienced Healthcare Investigator to join its industry ..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical ... - Outpatient & Surgical Specialty Coding Team-Remote in US in Dover ... Dover Delaware Description The Medical Coding Auditor..

... to patient records. The Medical Coding Auditor work assignments are varied ... the United States. Provides expert coding auditing, coding and documentation improvement education. Performs ... reviews Utilizes encoders..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

**COMPANY:**HM Health Solutions**SUMMARY OF JOB RESPONSIBILITIES**This internship will included project work such as updating a SharePoint site or process improvement documentation, etc.This job has the goal of providing the opportunity to ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..