- Humana (Salem, OR)
- …and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are ... payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes,...to make an impact** **WORK STYLE:** 100% work at home /remote **WORK HOURS:** Typical business hours are Monday-Friday, 8… more
- Humana (Salem, OR)
- …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... metrics-driven environment. If you are looking to work from home , for a Fortune 100 company that focuses on...payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments.… more
- Humana (Salem, OR)
- … healthcare fraud investigations and auditing experience * Knowledge of healthcare payment methodologies, claims , submissions, and payments * Strong ... skills to make an impact** **WORK STYLE:** Work at Home . While this is a remote position, occasional travel...AHFI) * Experience testifying in court * Understanding of healthcare industry, claims processing, and investigative process… more
- Humana (Salem, OR)
- …JD, MSN, Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + ... + Bachelor's degree + Minimum 3 + years of healthcare fraud investigations and auditing experience + Knowledge of...operations + Bilingual in Spanish **Additional Information** **Work at Home Requirements** * At minimum, a download speed of… more
- Humana (Salem, OR)
- …remote. Humana's Customer Success Agents are our members' trusted partners in navigating healthcare . In this role, you'll provide guidance and solutions to ensure a ... customer service to support and retain members throughout their healthcare journey. This position requires you to have a...other plans + Simplify and clearly explain plan benefits, claims , and coverage communications. + Ask thoughtful questions to… more
- Humana (Salem, OR)
- …assignments. **Use your skills to make an impact** **WORK STYLE:** Remote, work at home . While this is a remote position, occasional travel to Humana's offices for ... are expected to start each workday between 6AM-9AM EST, regardless of their home time zone. **Required Qualifications** + RHIA, RHIT, or CCS Certification + At… more
- Humana (Salem, OR)
- …Management Lead supports the Encounter Data Management team within the Healthcare Quality Reporting and Improvement (HQRI) organization. This position is responsible ... **Minimum of 2 years' professional experience in Medicaid data management, healthcare operations** + **Ability to monitor product performance, resolve production… more
- Oracle (Salem, OR)
- …MS Excel, MS Word + Highly desirable to have: + Experience using EHR and/or healthcare claims data + Familiarity with Python or other programming language At ... **Evidence Generation Lead/Snr Research Consultant, RWE, Health Outcomes** **Remote/Work from home ** Oracle Life Sciences is seeking a qualified health outcomes… more