Job Description
**Become a part of our caring community and help us put health first**
Humana's Encounter Data Management (EDM) team is looking for an Encounter Data Management Professional with medical claims and data analysis experience to ensure accurate submissions to Medicaid and Medicare. If you enjoy digging in and solving detailed problems, you can use your skills to identify complex errors and problems within the encounter process between Humana and CMS. Using data analysis, claims research, and other resources, you can ensure data integrity for Medicare/Medicaid claims errors and enhance the encounter acceptance rate. You will report to one of the supervisors of EDM on this impactful and growing team.
Main Responsibilities
+ You should understand that this is a production-focused role and that performance will be subject to regular quality reviews
+ Ensure encounter submissions meet all compliance standards through careful analysis
+ Look for long-term improvements of encounte...
Humana's Encounter Data Management (EDM) team is looking for an Encounter Data Management Professional with medical claims and data analysis experience to ensure accurate submissions to Medicaid and Medicare. If you enjoy digging in and solving detailed problems, you can use your skills to identify complex errors and problems within the encounter process between Humana and CMS. Using data analysis, claims research, and other resources, you can ensure data integrity for Medicare/Medicaid claims errors and enhance the encounter acceptance rate. You will report to one of the supervisors of EDM on this impactful and growing team.
Main Responsibilities
+ You should understand that this is a production-focused role and that performance will be subject to regular quality reviews
+ Ensure encounter submissions meet all compliance standards through careful analysis
+ Look for long-term improvements of encounte...
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