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... review team is seeking a Medical Coding Auditor with a special ... review information provided in the medical records they must understand what ... this information confidently to other..
... guidelines, enjoys researching and reviewing medical record documentation for incorrect billing and coding. The ideal candidate ... Auditor 2 validates and interprets medical documentation to ensure capture of .....
... broad understanding of managed care, medical billing and clinical program development to ... for Medicare Trend, Formulary and Medical Strategies, Clinical Program Operations and ... trend analysis Previous experience..
Provider Specialist Duties: Works with Premises Attorneys to process case settlements, including Medicare and health insurance liens, review medical bills and computation of net settlements. Works directly with Finance for check ..
... audit/validation processes to ensure that medical record documentation and diagnosis coding ... Auditor 2 validates and interprets medical documentation to ensure capture of ... reviews of provider codes and..
Human Supports of Idaho, a partner practice of Behavioral Health Solutions is hiring! As a Case Manager specializing in working with individuals with Substance Use Disorders. These services are in an ..
... in your healthcare career!This community-based medical center provides a full range ... provides a full range of Medical Services and Specialities including Emergency ... inpatient and outpatient coding and..
Job Information Humana Manager, Fraud and Waste-Remote US in Boise Idaho Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Job Information Humana Associate Director, Site Reliability Engineering in Meridian Idaho Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, Site ..
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 The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk adjustment coding and medical record document requirements. This role acts as the second line of defense by providing oversight ..
... and validation processes to ensure medical record documentation and coding for ... coding knowledge to research Humana Medical Coverage Policies, CMS coverage guidelines, ... clinical experience reading and interpreting..
Job Information Humana Billing & Reconciliation Representative 2-Remote in ... in Meridian Idaho Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation..
Job Information Humana Billing & Reconciliation Representative 2-Remote in ... in Boise Idaho Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation..
... Professional - Product Owner, Premium Billing Systems in Meridian Idaho Description ... Implementation Professional to join the Billing and Reconciliation team. This Senior ... for one of our Premium..
Legal Assistant The candidate will set up new cases, notify and communicate with insurance companies, request medical records, and work on balance resolution. Works closely with attorneys and other legal staff ..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Meridian Idaho Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..
WalgreensnJob DescriptionIn accordance with state and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy. Assists the pharmacist in the performance of other Pharmacy Department duties in ..
Job Information Humana Staff RX Clinical Programs Oncology Pharmacist in Meridian Idaho Description The Staff RX Clinical Programs Oncology Pharmacist will be responsible for building relationships with oncology clinical practices that ..
Job Information Humana Call Center Pharmacy Claims Technician, Remote in Meridian Idaho Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative ..
Legal Assistant Responsibilities: Works closely with attorneys and other legal staff regarding case management and settlement of personal injury claims. Set up new cases, call insurance companies, send out LORs. Request ..
Job Information Humana Manager, Fraud and Waste-Remote US in Meridian Idaho Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Meridian Idaho Description Humana is looking for an experienced Healthcare Investigator to join its industry ..