- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated ... contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background,...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background,...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Senior Provider Reimbursement Professional - Certified Medical Coder performs ... coding certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and… more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- CenterWell (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Supervisor, Medical Coding extracts clinical information from a variety of medical ... codes (eg, ICD-10-CM, CPT) to patient records. The Supervisor, Medical Coding works within thorough, prescribed guidelines and procedures;...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- Humana (Raleigh, NC)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters,… more
- CenterWell (Asheville, NC)
- **Become a part of our caring community and help us put health first** A **Home Health Aide ( HHA )** : + Provides direct patient care to patient under direction of ... other staff members appropriately, legibly, thoroughly and in the amount of time allowed + Practice acceptable infection control principles. Provide a clean, safe… more