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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
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... Medical Coding Auditors Assists the Audit Manager with data analysis, team management, ... guidelines Prepares written summaries of audit findings Presents verbal audit feedback and provides education upon .....
Description The Director HEDIS Production and Quality Analytics takes the lead in driving success for key quality measures development and analytic reporting functions that support Humana Military clinical quality strategies, including ..
... Provide trending deficiencies to CBO Manager and Compliance Educator as appropriate.n ... a quarterly basis by ULP Compliance/Audit Services Department with including discussion ... discussion and feedback.n nTrial Period..
... is looking for an experienced Healthcare Investigator to join its industry ... billing practices. Prepares investigative and audit reports. Begins to influence department's ... o Able to collaborate with..
... seeking a HEDIS Senior Data Manager to deliver quality and value ... Responsibilities The HEDIS Senior Data Manager is accountable for engaging in ... results. The HEDIS Senior Data..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... join the Provider Payment Integrity-Clinical Audit team working remote anywhere in ... As the Fraud & Waste..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Louisville Kentucky Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Louisville Kentucky Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
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, CPT) to patient records. The Medical Coding ..
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 ..
... review, provider record updates, and audit preparation as defined by the ... updates are complete. 15% Manage internal correspondence control numbers. Request medical ... medical records. Print and prepare..
... system needs, data needs, provider audit compliance etc. Creates team engagement ... timely. 10 % Collaboration with internal partners to identify aberrant billing ... years of experience in a..
... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, ... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2, ... include: Collaborate with the Quality..
... mitigate risk associated with external audit reviews. Responsible for driving accuracy ... and/or Auditing experience in the Healthcare Industry Experience in a production ... a production goal-oriented environment within..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Louisville Kentucky Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Louisville Kentucky Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
