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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..
... audit/validation processes to ensure that medical record documentation and diagnosis coding ... and investigating clinical/coding information, researching medical materials and sources in order ... audit/validation process to ensure that..
... audit/validation processes to ensure that medical record documentation and diagnosis coding ... optimal reimbursement. Validates and interprets medical documentation to ensure capture of ... reviews of provider codes and..
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 ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Aberdeen South Dakota Description Humana is looking for an experienced Healthcare Investigator to join its ..
... Professional - Product Owner, Premium Billing Systems in Aberdeen South Dakota ... Implementation Professional to join the Billing and Reconciliation team. This Senior ... for one of our Premium..
Job Information Humana Associate Director, Site Reliability Engineering in Aberdeen South Dakota Description The Associate Director, Site Reliability Engineering maintains, integrates and implements software applications within the organization. The Associate Director, ..
Description The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer ..
... 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..
... 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 .....
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
Job Information Humana Manager, Fraud and Waste-Remote US in Aberdeen South Dakota Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Aberdeen South Dakota Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special ..
Job Information Humana Billing & Reconciliation Representative 2-Remote in ... Aberdeen South Dakota Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation..
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..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Aberdeen South Dakota Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review ..
Job Information Humana Director, Billing & Enrollment - Humana Military ... that is responsible for key Billing and Enrollment functions in support ... enterprise as relates to key billing and..
... 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..
