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Description ** Role is open to remote/virtual/home office post-covid. Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do ..
... looking for an experienced medical coding reviewer to handle provider disputes ... should strongly consider the Outpatient Coding Auditor (Surgical Specialty) - Outcomes ... it takes to Succeed Certified..
... medical record documentation and diagnosis coding for services rendered is complete, ... ensure capture of all relevant coding. Identifies members with high risk ... change management. Applies clinical and..
Description The Cyber Intelligence Threat Analyst (TVM Engineer 2) ensures that threats and vulnerabilities to the organization's business systems and applications (both in-house and cloud-based) are minimized. The Cyber Intelligence Threat ..
Description The Referrals Coordinator 2 process referrals from Military Treatment Facilities (MTFs) and civilian providers. The Referrals Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
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 UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..
Description Seeking meaningful work? As a Fraud and Waste Manager at Humana, you will come to work every day with the knowledge that your work matters. The ideal candidate is a ..
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 ..
Description The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/customer support/computational tasks. Typically works on routine and patterned assignments. Responsibilities The ..
