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Records Retrieval Specialist - South Carolina

Humana
Located in Ohio
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data-type="string"> Description : **Become a part of our caring community** ...
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Summary
About the job:
The Medical Records Retrieval Specialist conducts quality assurance audits of medical records and ICD‑9/10 diagnosis codes submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. This is a remote role with field‑based responsibility, requiring travel to provider offices to retrieve, review, and validate medical records on‑site in or around the Sumter, SC area and surrounding counties, reporting directly to the Risk Adjustment Supervisor. The Medical Records Retrieval Specialist...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
De jobs
Certifications / Licenses:
Driver's License
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Lead Applied AI Software Engineer ( AI)

Humana
Broadway, VA
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Become a part of our caring community The Enterprise AI organization at ...
Details
Summary
About the job:
Humana is a pioneering force, driving AI development across our Insurance and CenterWell business segments. By collaborating with world-leading experts, we are at the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. Our goal is to create safe AI solutions that will revolutionize and improve healthcare experience and outcomes for our customers. We are actively seeking top talent to join us in shaping the future of healthcare through AI excellence. Join...
Location:
Broadway, VA
Job Type:
Full-Time
Permanent
Occupation:
Data Warehousing Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Built In
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Lead Applied AI Software Engineer ( AI)

Humana
Dallas, TX
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Become a part of our caring community The Enterprise AI organization at ...
Details
Summary
About the job:
Humana is a pioneering force, driving AI development across our Insurance and CenterWell business segments. By collaborating with world-leading experts, we are at the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. Our goal is to create safe AI solutions that will revolutionize and improve healthcare experience and outcomes for our customers. We are actively seeking top talent to join us in shaping the future of healthcare through AI excellence. Join...
Location:
Dallas, TX
Job Type:
Full-Time
Permanent
Occupation:
Data Warehousing Specialists
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Built In
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Lead Applied AI Software Engineer ( AI)

Humana, Inc.
Louisville, KY
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Become a part of our caring community The Enterprise AI organization at ...
Details
Summary
About the job:
Humana is a pioneering force, driving AI development across our Insurance and CenterWell business segments. By collaborating with world-leading experts, we are at the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. Our goal is to create safe AI solutions that will revolutionize and improve healthcare experience and outcomes for our customers. We are actively seeking top talent to join us in shaping the future of healthcare through AI excellence. Join...
Location:
Louisville, KY
Job Type:
Full-Time
Permanent
Occupation:
Computer Systems Engineers/Architects
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Humana, Inc.
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Fraud and Waste Investigator

Humana
Baton Rouge, LA
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data-type="string"> Description : **Become a part of our caring community** ...
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Summary
About the job:
The Senior Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive practices. Work assigned to the Senior Fraud and Waste Investigator involves moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Fraud and Waste Investigator conducts comprehensive investigations into allegations of fraud, misconduct, and other unethical or unlawful activity impacting the organization and its stakeholders....
Location:
Baton Rouge, LA
Job Type:
Full-Time
Permanent
Occupation:
Fraud Examiners, Investigators and Analysts
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
Certified Coding Specialist
Certified Fraud Examiner
Certified Pension Consultant
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Innovation Portfolio Strategy Advisor

Humana
Baton Rouge, LA
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data-type="string"> Description : **Become a part of our caring community** ...
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About the job:
The Innovation Portfolio Strategy Advisor reports to a Behavioral Health portfolio director and drives the product lifecycle for assigned products within that portfolio. You will accomplish the product strategy developed by the portfolio director by translating strategy into actual product delivery. The Portfolio Strategy Advisor works across departments to form colleague teams that can support overall delivery of a product, sets prioritization, maintains alignment of effort, and owns delivery. The Innovation...
Location:
Baton Rouge, LA
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
De jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Coding Auditor Evaluation & Management

Humana
Located in Ohio
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data-type="string"> Description : **Become a part of our caring community** ...
Details
Summary
About the job:
The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry-standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation,...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
Certified Coding Specialist
Certified Professional Medical Auditor
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

SENIOR CODING EDUCATOR

Humana
Baton Rouge, LA
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data-type="string"> Description : **Become a part of our caring community** ...
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About the job:
The Senior Coding Educator identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Coding Education. As Senior Coding Educator you will: + Create and implementing the risk adjustment strategy for each provider groups. + Analyze data and reporting and provide educational sessions with providers aimed at quality of care, documentation and coding improvements. + Collaborate with relationship owners and HQRI + Monitor and...
Location:
Baton Rouge, LA
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
Certified Professional Coder
Certified Radiology Coder
Certified Rehabilitation Counselor
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Clinical Programs Pharm Technician

Humana
Located in Ohio
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data-type="string"> Description : **Become a part of our caring community** ...
Details
Summary
About the job:
As a remote Clinical Programs Pharmacy Technician Representative, you will support Pharmacists and patients and report to a Clinical Programs supervisor. You will do this by accomplishing programs developed to improve overall health outcomes, with a focus on prescription drugs and medication therapy. Additionally, you will help bring the strategy on comprehensive medication reviews. You will perform varied activities and moderately complex administrative/operational/customer support assignments. Perform computations....
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Pharmacy Technicians
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
De jobs
Certifications / Licenses:
National Pharmacy Technician
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Coding Auditor Evaluation & Management

Humana
Baton Rouge, LA
Actions
Apply
Save to My Profile
See all jobs from this company
See who you know on LinkedIn
Report this job
data-type="string"> Description : **Become a part of our caring community** ...
Details
Summary
About the job:
The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry-standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation,...
Location:
Baton Rouge, LA
Job Type:
Full-Time
Permanent
Occupation:
Medical Records Specialists
Career Level / Education:
Postsecondary nondegree award
Salary:
High Income Jobs ($80K-$99K)
From:
De jobs
Certifications / Licenses:
Certified Coding Specialist
Certified Professional Medical Auditor
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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