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... market. Responsibilities The Clinical Documentation Specialist (CDS) follows state and federal ... while analyzing coding information and medical records. The Clinical Documentation Specialist conducts medication reviews of charts .....
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..
... Elbert, Banks, Franklin County) The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 conducts ... conducts quality assurance review of medical records and ICD-9/10 diagnosis codes that ... perks..
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 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..
... we do. The Divisional Chief Medical Officer (CMO) is an entrepreneurial ... team of regional & area medical directors and serve as dyad ... will report to the Chief..
... conducts quality assurance review of medical records and ICD-9/10 diagnosis codes that ... (Scheduler) ensures sites with open medical records requests are contacted in order ... to obtain a..
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 ..
... Information Humana Manager, Pharmacy and Medical Trend in Lancaster South Carolina ... drug trends, both pharmacy and medical, as well as the impact ... Humana profitability. Responsibilities Lead our..
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..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Lancaster South Carolina Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special ..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Lancaster South Carolina Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review ..
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..
... 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..
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 Lancaster South Carolina Description Humana is looking for an experienced Healthcare Investigator to join its ..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately ... in-depth evaluation of variable factors...
... Certified Diabetes Care and Education Specialist-Remote-US in Lancaster South Carolina Description ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
Job Information Humana UM Medical Director - Conviva in Lancaster ... Lancaster South Carolina Description The Medical Director relies on medical background and reviews health claims. ... and reviews health..
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 ..
