Medical Office Specialist Jobs in New Hampshire

... 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..

... while analyzing coding information and medical records. Decisions are regarding the ... Coders are responsible for reviewing medical records, completing multiple audits, and ... is designated as a home..

Description The Fraud Investigation Technician 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud Investigation Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. ..

... Windham County, VT . This office services our adult and geriatric ... at home and receive the medical care required. Registered Nurse (RN) ... and reliability. Benefits may include..

... The Supervisor, Pre-Authorization Nursing: Completes medical necessity and level of care ... Educates providers on utilization and medical management processes. Enters and maintains ... pertinent clinical information in various..

... iCare is seeking an Enrollment Specialist who will support the iCare ... BadgerCare Plus. Responsibilities The Enrollment Specialist is responsible for iCare enrollment ... more years' experience in the..

Description The Medical Director relies on fundamentals of ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The Medical..

Job Information Humana Strategy Advancement Lead - Humana Care Management in Portsmouth New Hampshire Description The Strategy Advancement Lead provides data-backed strategic direction to identify and address business issues and opportunities ..

... guidelines, enjoys researching and reviewing medical record documentation for incorrect billing ... Auditor 2 validates and interprets medical documentation to ensure capture of ... residence Minimum 2 years of..

... Coders are responsible for reviewing medical records, completing multiple audits, and ... while analyzing coding information and medical records. May participate in provider ... be used as a home..

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 The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..

... assignment capsule includes reviewing of medical records for fraud, waste or ... well as review of Humana Medical Coverage Policies, CMS regulations, peer ... vaccination or documentation for a..

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Portsmouth New Hampshire Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exposure and ..

Description The Behavioral Health Medical Director responsible for behavioral health ... and/or operations. The Behavioral Health Medical Director work assignments involve moderately ... Government Business's (HGB) Behavioral Health Medical Director..

Job Locations: US-Virtual/Remote Category: Medical Coding Are you interested in ... the nation’s leading providers of medical coding services that is experiencing ... as one of the top medical coding..

... Information Humana Manager, Pharmacy and Medical Trend in Portsmouth New Hampshire ... drug trends, both pharmacy and medical, as well as the impact ... Humana profitability. Responsibilities Lead our..

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Portsmouth New Hampshire Description Humana is looking for an experienced Healthcare Investigator to join its ..

... coordination, documentation and communication of medical services and/or benefit administration determinations. ... in reviewing actual and proposed medical care and services against established ... against established CMS and Humana..

... monitors drug development pipeline, and medical literature, while providing clinical support ... coverage policies for pharmacy and medical administered drug products. This individual ... Preferred Qualifications Board Certified Pharmacotherapy..

Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... Government Business's (HGB) Behavioral Health..

Job Information Humana FP&A Lead, Medicaid Market in Portsmouth New Hampshire Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina ..

Job Information Humana Care Team Medical Director in Portsmouth New Hampshire ... Hampshire Description The Care Team Medical Director is responsible for improving ... ground up. The Care Team Medical..