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... Medicare Advantage HMOs bundle hospital, medical and prescription drug coverage together ... within the healthcare space, including medical directors, clinicians, and financial officers. ... range of healthcare data including..
... audit/validation processes to ensure that medical record documentation and diagnosis coding ... Auditor 2 validates and interprets medical documentation to ensure capture of ... Health field Previous experience in..
... of care. Follows level of medical care and quality for patients ... hospital and SNF coordination, durable medical equipment and home health care. ... participant and key source of..
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 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 ..
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. ..
... brand for a primary care medical group practice with centers open ... of care. Follows level of medical care and quality for patients ... hospital and SNF coordination, durable..
Overview: Mercy Virtual is seeking a Nurse Practitioner or Physician Assistant to joing our vEngagement team located on campus of our Virtual Care Center in Chesterfield, MO. This position is a ..
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 ..
... while analyzing coding information and medical records. The Clinical Documentation Specialist ... clinical insights derived from patient medical records. The Clinical Documentation Specialist ... clinical chart reviews of patient..
Job ID 21000HX9Available Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..
Job ID 21000EU9Available 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 ..
... brand for a primary care medical group practice with centers open ... Behavioral health specialist, quality based coder, referral coordinator and more. Our ... of care. Follows level of..
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 ..
... the members we serve. The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and..
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)..
Job ID 21000HYOAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. ..