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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 ..
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,..
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 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 ..
Job ID 21000HVGAvailable Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of ..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records, and reviews medical documentation for clinical indicators to ... and correct coding guidelines. The..
Description Risk Adjustment Coders are responsible for reviewing medical records, completing multiple audits, and special projects. Associates in this role work collaboratively with other departments. Responsibilities The Risk Adjustment Coder ensures ..
Description The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct ... coding guideline are met. The Medical Coding Auditor work assignments are ... courses..
Job Information Humana Senior Data Engineer in Charleston West Virginia Description Responsibilities Senior Data Engineer Job Description Summary The Senior Data Engineer Designs, builds, and maintains data processing architectures and solutions ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Job Information Humana Senior Cloud Services Engineer in Charleston West Virginia Description Responsibilities Are you looking for an innovative way to utilize your cloud engineering skills in hybrid cloud environment and ..
Description The Medical Coding Coordinator 2 will process ... based on software recommendation. The Medical Coding Coordinator 2 reviews submitted ... Coding Coordinator 2 reviews submitted medical records to determine..