- HCA Healthcare (Hopewell, VA)
- …invested over 156,000 hours volunteering in our communities. As a Facility Outpatient Coding Editor with Parallon you can be a part of an organization that ... vary by location._** Would you like to unlock your potential with a leading healthcare provider dedicated to the...organization. We are looking for an enthusiastic Facility Outpatient Coding Editor to help us reach our goals. Unlock… more
- HCA Healthcare (Richmond, VA)
- …Account Reimbursement Specialists (CARS), and/or CDI Liaisons with day-to-day operations + Assists Coding Manager in the review and improvement of processes and ... potential ! **Job Summary and Qualifications** As an Outpatient Coding Lead, you will perform as the daily contact...Tool [C-PART)) + Coordinates activities in conjunction with the Coding Manager and SSC Education staff related… more
- Elevance Health (Richmond, VA)
- …/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred. + Knowledge ... **DRG CODING AUDITOR** **Location** : _This position will work...letter writing). + Identifies new claim types by identifying potential claims outside of the concept where additional recoveries… more
- Elevance Health (Norfolk, VA)
- …/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology strongly preferred Please ... **DRG Coding Auditor Principal** _Virtual: This role enables associates...level auditors. + Identifies new claim types by identifying potential claims outside of the concept where additional recoveries… more
- Elevance Health (Richmond, VA)
- …accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by recognizing aberrant coding ... medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Norfolk, VA)
- …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... AUDITOR II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**… more
- Elevance Health (Norfolk, VA)
- …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... Auditor II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an impact:**… more
- Elevance Health (Richmond, VA)
- …review and requests payments for any overpayments. + Identifies aberrant patterns of billing and detects potential abuse. + Participates in developing and/or ... which would provide an equivalent background. RN, LPN or medical coding certification strongly preferred. **Preferred Skills, Capabilities, and Experiences:** +… more
- University of Virginia (Charlottesville, VA)
- Under the direction of the manager or designee supports the functions of the Scheduling Office by facilitating and producing the ORMIS Daily OR Schedule and its ... current ICD-10 and CPT codes is demonstrated. h. Communication with department billing staff is accomplished in a timely manner to ensure accurate… more
- Elevance Health (Norfolk, VA)
- …Investigator II** is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. **How you will make an ... identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and abuse… more
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