- Elevance Health (Norfolk, VA)
- …an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit ... activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge...established by audit management. + Identifies potential documentation and coding errors by recognizing aberrant coding and… more
- Datavant (Richmond, VA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... APR-DRG **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. +… more
- Intermountain Health (Richmond, VA)
- …system-wide initiative levels. + Monitors for positive or negative trends in coding , charge capture and/or editing processes to improve teams' performance. + ... and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits. + Audits and evaluates system automation by… more
- Highmark Health (Richmond, VA)
- …and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ... management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD guidelines by… more
- Datavant (Richmond, VA)
- …2 Coders, where applicable + Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders + Uphold an ... overall 95% coding accuracy rate and a 95% accuracy rate for...+ A minimum of 3 years of recent inpatient coding facility experience + CCS, RHIT, or RHIA preferred… more
- Humana (Richmond, VA)
- …audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support ... interprets medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to conduct a clinical validation review of the… more
- Cognizant (Richmond, VA)
- …on **ICD-10-CM** (International Classification of Diseases) and **PCS** (Procedure Coding System) standards. . **Responsibilities** + Review clinical documentation ... (not physician's office) **Qualifications** + **Experience:** 2-5 years in Hospital-based impatient coding . + **Current coding credential:** CCS (AHIMA) or CPC,… more
- Humana (Richmond, VA)
- …a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that ... May apply intermediate mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from a variety of medical records and… more
- Oracle (Richmond, VA)
- …systems to support real-time data processing for analytics platforms. + ** Coding :** Leverages industry best practices to write correct, secure, maintainable, robust ... + BS or MS degree in Computer Science or relevant technical field involving coding or equivalent practical experience + 4-8 years of total experience in software… more
- Oracle (Richmond, VA)
- …burden of clinical and reimbursement tasks such as charting, documentation, and coding by applying power of generative AI. Our diverse team of creators ... HIM field helpful, with focus on different reimbursement methodologies, AHA coding guidelines, and Clinical Documentation Improvement experience. + Knowledge of… more