- Humana (Phoenix, AZ)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... of healthcare compliance, mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC,...next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- 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