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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 ..
... 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 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 ..
... 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..
... quality assurance, configuration, installation and support to ensure smooth, stable and ... maintained over test and production systems and software source code. Begins ... quality assurance, configuration, installation and..
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 ..
... analytics that will change how healthcare works. We need someone with ... Longevity working in data engineering, decision support, and reporting system environments Working ... knowledge of business intelligence,..
... Designing and managing Provide security systems and tools management related to ... operations and other teams Provide support on Incident Response on security ... schedules and reporting processes Provide..
... manage the daily cloud based systems utilizing AWS, Azure, and Google ... and security of cloud based systems. The Engineer is an expert ... with high performing and scaling..
... opportunity providing Operations & Engineering support work on multiple cutting-edge storage ... Subject Matter Expert providing operations support and governance. With extensive Storage ... reactive performance tuning of storage..
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 ..
... using technology to revolutionize traditional healthcare. Supports data integration with an ... Data Engineer provides cloud-based API support and handles data routing Handles ... widespread data routing into larger..
Job Information Humana Senior Cloud Services Engineer in Winchester Virginia Description Do you love working in cutting edge technologies and thrive in learning new technologies? The candidate in this role will ..
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..
Description The Self-Service Analytics Platform team at Humana needs a technologically savvy senior IT agile project and program manager to drive advancements in analytics that will change how healthcare works. We ..
... Compliance Prof 2/Process and Market Support- Remote in US in Winchester ... Critical Inquiry Process and Market Support Professional 2, you will work ... Critical Inquiry Process and Market..
... 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). ..
... Description The Senior Desktop/End User Support Engineer maintains, repairs, and troubleshoots ... training. The Senior Desktop/End User Support Engineer work assignments involve moderately ... Responsibilities The Senior Desktop/End User..
Job Information Humana Quality Improvement Coordinator in Winchester Virginia Description The Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The ..
... Primary Care segment, overall CenterWell healthcare business, and the enterprise as ... of EMR software with various healthcare systems Collaborate with cross-functional teams to ... and ongoing maintenance of..