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Description The Medical Coding Coordinator 3 extracts clinical ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM,..
... audit/validation processes to ensure that medical record documentation and diagnosis coding ... and investigating clinical/coding information, researching medical materials and sources in order ... audit/validation process to ensure that..
Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 ... verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are ... Where you Come In The..
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Toledo Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and ..
PURPOSE AND SCOPE:Under the direction of a Kidney Care Advocate Manager, collaborates with internal and external care teams, to ensure a positive experience for every patient living with kidney disease through ..
Job Information Humana Medicare Sales Representative in Toledo Ohio Description Are ... an opportunity to work in sales, and wanting the ability to ... join our team. Our Medicare Sales..
Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records and assigns appropriate procedural ... assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM..
Job Information Humana Contract Tools, Education, Processes Professional - Louisville, KY or Remote (EST hours) in Toledo Ohio Description The Contract Tools, Education, Processes Professional builds templates, standard documentation, policy and ..
... Information Humana Billing & Reconciliation Representative 2-Remote in US in Toledo ... Description The Billing & Reconciliation Representative 2 determines discrepancies between company ... Services. The Billing & Reconciliation..
Description The Medical/Financial Risk Evaluation Professional 2 is ... development, implementation and monitoring of medical/financial risk. The Medical/Financial Risk Evaluation Professional 2 work ... Where you Come In The Medical/Financial..
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achieving path-to-value goals through analysis and ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in ... in Toledo Ohio Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in ... in Toledo Ohio Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
PURPOSE AND SCOPE:Supports FMCNA's mission vision core values and customer service philosophy. Adheres to the FMCNA Compliance Program including following all regulatory and FMS policy requirements.Functions as part of the hemodialysis ..
Job Information Humana Care Guide - Physical Health in Toledo Ohio Description The Care Guide (Care Coach 1) assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in ... in Toledo Ohio Description The Medical Coding Auditor extracts clinical information ... information from a variety of medical records..
POSITION FEATURES:Join our team! • Rated as one of Forbes’ U.S. Best Employers • Paid one-on-one training • Tuition reimbursement • Competitive Pay & Benefits • Paid time off • 401(K) ..
Description The Healthcare Financial Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilities The East Central Region is seeking a Healthcare ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain high quality ..
Job Information Humana Manager, Fraud and Waste-Remote US in Toledo Ohio Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
Job Information Humana Claims Review Representative 2 in Toledo Ohio Description ... Ohio Description The Claims Review Representative 2 , will be part ... will be part of the Medical..