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... conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that ... while analyzing coding information and medical records. May participate in provider education ... medicare risk adjustment..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... of variable factors. Responsibilities The..
... review team is seeking a Medical Coding Auditor with a special ... review information provided in the medical records they must understand what each ... it should represented in..
Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers across eight states under two ..
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 Record Retrieval Specialist (Risk Adjustment Representative) travels to ... within the region and scans medical records into a secure system. The ... into a secure system. The..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... East Coast hours Responsibilities The..
Description The Area Medical Director serves as a health-care ... of health-related problems. The Associate Medical Director requires a solid understanding ... across department(s). Responsibilities The Area Medical Director serves..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Glen Allen Virginia Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special ..
... 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..
... Information Humana Manager, Pharmacy and Medical Trend in Glen Allen Virginia ... drug trends, both pharmacy and medical, as well as the impact ... Humana profitability. Responsibilities Lead our..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
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 ..
Oncology Business Specialist -- Richmond, VA Do you ... to turning innovative science into medical solutions that bring value and ... our focus on addressing unmet medical needs and conducting..
Description The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare and ... daily work. Responsibilities Job..
Description The Medical Director actively uses their medical background, experience, and judgement to ... and other sources of expertise. Medical Directors will learn Medicare and ... in their daily work...
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Glen Allen Virginia Description Humana is looking for an experienced Healthcare Investigator to join its ..
Job Information Humana UM Medical Director - Conviva in Glen ... Glen Allen Virginia Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
... and change lives with Fresenius Medical Care North America. Here, we ... When you join the Fresenius Medical Care team, you’ll be welcomed ... advantages include the following: Fresenius..
... and retaining organizational talent Lead medical center operations consistent with programs ... and/or operations, Provider Practice/Healthcare or medical center operations Ability to work ... vaccination or documentation for a..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... East Coast hours. Responsibilities The..
... Certified Diabetes Care and Education Specialist-Remote-US in Glen Allen Virginia Description ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
