• Sr Compliance RCM & Coding Auditor

    Humana (Columbus, OH)
    …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience… more
    Humana (08/23/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …+ Ability to utilize certified HEDIS software. + Ability to analyze clinical, claims , pharmacy , encounter, and quality measurement data. + Advanced knowledge of ... + Ability to utilize certified HEDIS software. + Ability to analyze clinical, claims , pharmacy , encounter, and quality measurement data. + Advanced knowledge of… more
    Medical Mutual of Ohio (08/16/25)
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