• Medical Coding Auditor

    Humana (Baton Rouge, LA)
    …correct coding guidelines specific to Ambulatory Payment Classification (APC) and Hospital Outpatient Facility coding + Utilize encoders and various ... certification experience reading and interpreting claims + Outpatient facility auditing experience + Experience with coding /auditing Radiology,… more
    Humana (01/07/26)
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  • Medical Director - OP Claims Mgmt

    Humana (Baton Rouge, LA)
    …in care management. The clinical scenarios predominantly arise from outpatient , inpatient or post-acute care environments. Has discussions with external ... may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, disputes processes, and appeals processes, and… more
    Humana (11/24/25)
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  • Medical Director - IP Claims Management

    Humana (Baton Rouge, LA)
    …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... outpatient services and equipment, within their scope. The Medical...Director may speak with contracted external physicians, physician groups, facilities , or community groups to support regional market priorities,… more
    Humana (12/11/25)
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