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Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
Description We are seeking a driven individual to support the Stars program to positively impact HEDIS performance through delivery of strategic initiatives and operational excellence. The role will support the preventive ..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Job Information Humana UM Administration Coordinator 2 (Schedule: Monday - Friday) - Remote in Brentwood Tennessee Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration ..
... Interoperability, 2) serve as a coding expert to manage escalations or ... (PST) that drives national provider education strategy and operations along with ... acumen, and industry-standard clinical /..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Brentwood Tennessee ... Brentwood Tennessee Description The Medical Coding Auditor extracts clinical information from ... to patient records...
... medical record documentation and diagnosis coding for services rendered is complete, ... you love auditing and investigating clinical/coding information, researching medical materials and ... medical record documentation and diagnosis..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Brentwood Tennessee ... Brentwood Tennessee Description The Medical Coding Auditor extracts clinical information from ... to patient records. The Medical..
Description The Medical Coding Auditor extracts clinical information from ... to patient records. The Medical Coding Auditor work assignments are varied ... you Come In The Medical Coding Auditor confirms..
Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..
... Humana Senior Medical Auditing Professional: REMOTE/WORK AT HOME in Brentwood Tennessee ... Tennessee Description The Senior Medical Coding Professional acts as the team ... and provides training, guidance, and..
... Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Brentwood Tennessee ... - Clinical Review team working remote/from home anywhere in the U.S. ... are fortunate to offer a..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... Payment Integrity-Clinical Audit team working remote anywhere in the US. As ... As the Fraud & Waste..
Job Information Humana Medical Coding Coordinator 3- Remote USA in Brentwood Tennessee Description ... Brentwood Tennessee Description The Medical Coding Coordinator 3 extracts clinical information ... to patient records. The..
... that impact HEDIS measures or coding (i.e. identify deficiencies in data ... oral communication skills. Work at Home/Remote Requirements At minimum, a download ... with multiple departments a plus...
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Brentwood Tennessee ... Brentwood Tennessee Description The Medical Coding Auditor extracts clinical information from ... to patient records. The Medical..
... background and industry-standard clinical / coding guidance to ensure physician and ... ensure physician and healthcare provider education, reporting and materials are accurate ... for physician and healthcare provider..
Description The Medical Coding Coordinator 3 extracts clinical information ... to patient records. The Medical Coding Coordinator 3 performs advanced administrative/operational/customer ... you Come In The Medical Coding Coordinator 3..
... nation's largest full-service pharmacy benefits manager (PBM) specifically for the hospice ... receive the payment. Location : Remote TN ONLY Schedule: Monday through ... assigned by the CII Supervisor,..
Description The Senior Professional describes the tools, technologies, applications and practices used to collect, integrate, analyze, and present an organization's raw data in order to create insightful and actionable business information. ..
Description The Medical Coding Auditor extracts clinical information from ... to patient records. The Medical Coding Auditor work assignments are varied ... looking for an experienced medical coding auditor to..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Brentwood Tennessee Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the Autism ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits ... and Medicaid Services (CMS). The Manager, Risk Adjustment works within specific ... schedules and goals. Responsibilities The..
