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... audit/validation processes to ensure that medical record documentation, and billing for ... validates and interprets inpatient hospital medical record documentation to ensure billing ... Previous recent experience in hospital..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g. CPT)..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Job Information Humana Senior Provider Installation Professional (Service Fund) (Remote) in Anchorage Alaska Description Humana's Service Fund organization is looking for Senior Provider Installation Professional to join the team working from ..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
Remote Inpatient Coding Opportunity – Full-time/Director Hire Requirements: 3+ years of Inpatient Coding, Auditing experience preferred Credentials: CCS, RHIT, or RHIA Required Reviews and evaluates hospital inpatient medical record documentation to ..
Job Information Humana Lead Database Administrator, Open Systems - Remote in Anchorage Alaska Description The Lead Database Administrator manages and maintains all production and non-production databases. Responsible for standards and design ..
Job Information Humana Senior Data Manager - Primary Care Organization in Anchorage Alaska Description The Senior Data Manager supports all aspects of configuration control, data management, and deficiency reporting. The Senior ..
Description As a Clinical Informaticist at Humana, you will contribute to meaningful projects, interact with other team members, be exposed to business operations and work cross functionally with other departments. The ..
Description The Medical Coding Coordinator 2 extracts clinical ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
Job Information Humana Associate Director, Technology Solutions in Anchorage Alaska Description Responsibilities Job Description Seeking an experienced and motivated leader to join our team in the role of Associate Director, Technology ..
Job Information Humana IAM Senior Data Engineer in Anchorage Alaska Description The Senior Data Engineer Designs, builds, and maintains data processing architectures and solutions enabling the efficient conversion of structured and ..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
Description Humana's Claims Cost Management (CCM) organization is seeking a Manager, Fraud & Waste to join the Provider Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud ..
Job Information Humana Care Management Application Architect in Anchorage Alaska Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana ..
Job Information Humana Data Manager / ETL Developer - Primary Care Organization in Anchorage Alaska Description The Data Manager 2 supports all aspects of configuration control, data management, and deficiency reporting. ..
Job Information Humana Medical Coding Coordinator 3- Remote USA ... in Anchorage Alaska Description The Medical Coding Coordinator 3 extracts clinical ... information from a variety of medical records and..
... healthcare fraud and abuse by medical providers. This position uses information ... a tip, member benefits, and medical records to document relevant findings ... requirements. This position completes a..
Description Come join the Digital Health & Analytics (DH&A) team within Humana to build a world class Data Science and Insights enterprise capability leveraging digital-first platforms, analytics, and agile development methodologies. ..