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... love auditing and investigating clinical/coding information, researching medical materials and sources ... credential (CPC, CCS, or CRC) Healthcare experience within a fraud investigations ... well as solid knowledge of..
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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 ..
... ID 21000KFJAvailable Openings 1Position Specific Information This is a remote opportunity ... or nurses to verify correct information about a specific prescription. Regularly ... Enforcement Agency databases (NPI/DEA) when..
Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual ... Medical Coding Auditor extracts clinical information from a variety of medical ... contract payments in our payer systems, and by ensuring correct..
... well as Providers and Health Systems throughout the Mid Atlantic Region ... and guidelines while analyzing coding information and medical records May participate ... policies, processes and procedures Additional..
... for one of the leading healthcare organizations. Reporting to Director of ... by delivering personalized, simplified, whole-person healthcare experiences. The Associate Director, Full ... development of large-scale enterprise software..
... and Developers across many Humana systems and partner with our business ... creating requirements to advance the systems. You will be responsible for ... Bachelor's Degree in Computer Science,..
Save job Refer friends Job description Commute time Brand Image: Overview: Upstream Rehabilitation, an industry-leading family of world-class brands, is actively seeking exceptional outpatient physical therapists who are determined and committed ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual ... Medical Coding Auditor extracts clinical information from a variety of medical ... contract payments in our payer systems, and by ensuring correct..
Job Information Humana Senior Provider Contracting Professional ... providers directly Multi-tasks in different systems Travel up to 20% In ... and network administration in a healthcare company Experience in contract..
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 ..
Job Information Humana Inpatient Medical Coding Auditor ... Medical Coding Auditor extracts clinical information from a variety of medical ... contract payments in our payer systems, and by ensuring correct..
... and procedures.Responsible for using pharmacy systems to obtain patient and drug ... to obtain patient and drug information and process prescriptions. If PTCB ... in the operation of pharmacy..
PURPOSE AND SCOPE: The Credentialing Specialist is responsible for verifying submitted Credentialing documentation. for all specialties that provide services to the organization's members. The Credentialing Specialist incumbent will meet all credentialing ..
... and network administration in a healthcare company 2 years of project ... with Value Based Contracting Additional Information This position is considered remote/work ... protect member PHI / HIPAA..
... clinics to provide and obtain information pertinent to patient's medication orders. ... assistance cards and other assistance information to patient profiles. Adjudicates insurance ... needed to work with pharmacy..
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... procedures and protocols of the healthcare organization. Implement and monitor patient ... needs with members of the healthcare team. Requirements Licensure / Certification ... is one of the largest..
Job Information Humana Quality Improvement Coordinator in ... department SharePoint and Teams sites information and folders Assists in prioritizing ... Assists in prioritizing requests for information in regard to the..
... Medical Coding Auditor extracts clinical information from a variety of medical ... contract payments in our payer systems, and by ensuring correct claims ... clarifies internal requests for medical..