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... complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor ... diagnosis coding is accurate to support billed clinical diagnosis Applies clinical ... credential (CPC, CCS, or CRC)..
Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
At GE Healthcare, our passionate people are creating ... while ensuring compliance with quality systems and regulatory requirements. Ensure customer ... expertise for data analysis to support recommendations. Uses multiple..
Description Humana/iCare is seeking a Care Management Manager to join the growing team in the Family Care Partnership (FCP) program. The FCP Care Management Manager will oversee a team of nurses ..
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... providers directly Multi-tasks in different systems Travel up to 20% In ... and network administration in a healthcare company Experience in contract preparation ... groups, ancillary providers and/or hospital..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... & Contracting leadership to provide support through complex analytics..
Company Name: Roundy's Position Type: Employee FLSA Status: Non-Exempt POSITION SUMMARY: Provide professional pharmacy services, including filling prescriptions, counseling patients and supervising pharmacy technicians. Assure that all services comply with professional ..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
... who will provide high touch support and coordination to designated iCare ... community partners to effectively coordinate, support, and coach members in the ... activities to designated members that..
Job Information Humana Quality Improvement Coordinator in Milwaukee Wisconsin Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..
Details Department: Patient Access Admitting Schedule: 1.0/Days - Monday-Friday-08-1630-start and end times may change dependent on needs of the facility Hospital: Elmbrook Memorial Location: Brookfield, WI Benefits Paid time off (PTO)Various ..
... offers many benefits to help support the well-being of our military ... and medical staff with ethical decision making and values while making ... Work Experience: 2 years of..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
... contract payments in our payer systems, and by ensuring correct claims ... job as we are a healthcare company committed to putting health ... for optimal performance from Humana..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
... contract payments in our payer systems, and by ensuring correct claims ... their home. We are a healthcare company committed to putting health ... for optimal performance from Humana..
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). ..
