Patient Services Rep Jobs in Rhode Island

... action taken in the member services department is to facilitate access ... emphasis on member advocacy and patient safety. While this associate receives ... action taken in the member..

Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

... specific care plan and coordinates services Ensures members are receiving services in the least restrictive setting ... to meet those needs Coordinating services, and monitoring and evaluating the .....

Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Newport Rhode Island Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking an AVP to ..

Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Newport Rhode Island Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review ..

Job Information Humana Digital Channel Sales Strategy And Transformation Lead - Louisville, KY or Remote in Newport Rhode Island Description The Digital Channel Sales Strategy and Transformation Lead enhances the consumer ..

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..

Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Newport Rhode Island Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy ..

Job Information Humana Senior Contract Tools, Education, Processes Professional - Remote in Newport Rhode Island Description The Senior Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and protocol, case ..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Newport Rhode Island Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..

Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty Coding Team-Remote in US in Newport Rhode Island Description The Medical Coding Auditor reviews medical claims submitted against medical records ..

... Activities, including those related to patient satisfaction and actively participates in ... manner. PRINCIPAL RESPONSIBILITIES AND DUTIES PATIENT CARE: Assist other health care ... health care members in providing..

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Newport Rhode Island Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented Physician executive that ..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Newport Rhode Island Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Newport Rhode Island Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ..

... quality improvement activities that enhance patient care outcomes and facility operations. ... systematic collection and analysis of patient data pre – during – ... patients and documents in the..

Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Newport Rhode Island Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts ..

... of renal care products and services in the nation, including state-of-the-art ... quality improvement activities that enhance patient care outcomes and program operations. ... Educator, Preceptor or an Inpatient..

... Activities, including those related to patient satisfaction and actively participates in ... manner. PRINCIPAL RESPONSIBILITIES AND DUTIES PATIENT CARE: Assist other health care ... health care members in providing..

Job Information Humana Manager, Fraud and Waste-Remote US in Newport Rhode Island Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..

Job Information Humana Medical Coding Coordinator 3- Remote USA in Newport Rhode Island Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate ..