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Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
u003cpu003eFounded in 1965, Telecare is a rapidly growing mental health care company dedicated to making a difference for our clients, the community, and our employees. We offer an array of mental ..
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 Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Salem Oregon Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Salem Oregon Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..
Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..
... is looking for an experienced Healthcare Investigator to join its industry ... provider records ensuring appropriateness of billing practices. Prepares investigative and audit ... areas Bachelor's degree or significant..
... Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find ... OR, 97305 School - ST, Healthcare Contract - Full Time I'm ... Full Time I'm Interested Maxim..
... medical record documentation for incorrect billing and coding. The ideal candidate ... ensure capture of all relevant billing discrepancies. Identifies the root cause ... reviews of provider codes and..
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 Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..
Job Information Humana Manager, Fraud and Waste-Remote US in Salem Oregon Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
At Medcor, we're passionate about caring for our advocates as much as you are passionate about caring for your patients! Join our team and receive the support you need to be ..
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 ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... provider records ensuring appropriateness of billing practices. Prepares complex investigative and ... Qualifications Bachelor's degree or significant..
Job Information Humana Associate Director, Site Reliability Engineering in Salem Oregon Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, Site ..
Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. Responsibilities There are 4 shifts available for this role. All ..
PCL’s Cognitive & Behavioral Health Services Department has one opening for a Behavioral Health Assessment Coordinator (BHAC) to work with people with co-occurring I/DD/Mental Health diagnoses in Polk/Marion/Lane Counties. This position ..
... Professional - Product Owner, Premium Billing Systems in Salem Oregon Description ... Implementation Professional to join the Billing and Reconciliation team. This Senior ... for one of our Premium..
Job Information Humana Billing & Reconciliation Representative 2-Remote in ... in Salem Oregon Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation..
