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... looking for an experienced medical coding reviewer to handle provider disputes ... should strongly consider the Outpatient Coding Auditor (Surgical Specialty) - Outcomes ... it takes to Succeed Certified..
... medical record documentation and diagnosis coding for services rendered is complete, ... ensure capture of all relevant coding. Identifies the root cause analysis ... change management. Applies clinical and..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US ... Boston Massachusetts Description The Medical Coding Auditor extracts clinical information from ... to patient records. The Medical Coding..
Description This position is within the EIP Cyber Threat Intelligence (CTI) Operational Team. Senior Cyber Intelligence Analyst focus on understanding and conducting in depth analysis on adversarial capabilities, infrastructure, and TTPs; ..
Description Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations ..
Job Information Humana UM Administration Coordinator 2 - Part Time - Work at Home (Friday-Sunday Schedule) in Boston Massachusetts Description (Friday - Sunday Schedule) The UM Administration Coordinator 2 contributes to ..
... Massachusetts Description The Senior Medical Coding Professional acts as the team ... to claims. The Senior Medical Coding Professional work assignments involve moderately ... independence. Responsibilities The Senior Medical..
... to patient records. The Medical Coding Auditor work assignments are varied ... the United States. Provides expert coding auditing, coding and documentation improvement education. Performs ... reviews Utilizes encoders..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Boston Massachusetts Description Humana is looking for an experienced Healthcare Investigator to join its industry ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient ... reviewing inpatient records for appropriate coding to include ICD-10, CPT, and ... and HCPCS. The Manager,..
Description The Senior Application Architect designs and develops IT applications architecture solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments involve ..
Job Information Humana UM Administration Coordinator 2: REMOTE/WORK AT HOME (ANYWHERE IN THE US)) in Boston Massachusetts Description This UM Administration Coordinator 2 will contribute to administration of pre-certifications, DME, and ..
Description Are you the type of person who is skilled at taking a problem and leveraging data to help solve it? We're looking for a Business Intelligence Analyst to help solve ..
Description The Cyber Intelligence Threat Analyst (TVM Engineer 2) ensures that threats and vulnerabilities to the organization's business systems and applications (both in-house and cloud-based) are minimized. The Cyber Intelligence Threat ..
Description Humana is focused on helping people achieve wellness, which includes peace of mind knowing their most sensitive data - information on their health - is secure from prying eyes. The ..
Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Job Information Humana UM Administration Coordinator (M-F or Tu-Sa Schedules Available) - REMOTE/WORK AT HOME (Anywhere in the US) in Boston Massachusetts Description The UM Administration Coordinator 2 contributes to administration ..
Description The Lead Cloud Architect leads the planning, design, and engineering of enterprise-level infrastructure and platforms related to cloud computing. The Lead Cloud Architect works on problems of diverse scope and ..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Boston Massachusetts Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..
Description Humana is seeking a Senior Cloud Solutions Engineer (Network) who will deliver solutions for Multi-Cloud network connectivity. This is a critical role within Humana's IT organization responsible for the engineering ..