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... Health field Previous experience in medical record reviews/auditing or extensive experience ... Home Health guidelines including coding, billing and CMS regulations Able to ... following certifications: Home Care Clinical..
Job Information Humana Senior Cyber Data Manager (remote virtual home office) in Billings Montana Description The Senior Cyber Data Protection Engineer will operate as a member of the [Author by Humana] ..
Description The UM Specialist contributes to administration of utilization ... of utilization management. The UM Specialist performs varied activities and moderately ... As a UM (Utilization Management) Specialist you will..
... SCOPE: The Revenue Cycle Training Specialist (trainer) will support process standardization ... or more focus areas (verifications, billing, collections, etc.) and will be ... EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Fresenius..
... and other staff regarding documentation, billing and coding and provide feedback ... matrix environment of coding educators, medical director, clinical and market operations ... and training of providers and..
Description The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Follows state and federal regulations as well as internal policies and guidelines ..
Description The Senior Risk Adjustment Professional conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other ..
Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
u003cpu003eu003cstrongu003eRole Summaryu003c/strongu003eu003c/pu003enu003cpu003eAnswer inquiries from beneficiaries, providers, and other affiliated representatives or groups regarding TRICARE eligibility, benefit determinations, and claims adjudication questions or problems.u003c/pu003enu003cpu003eu003cstrongu003eIn this role you will:u003c/strongu003eu003c/pu003enu003culu003enu003cliu003eReceive telephone, written, fax, and ..
