- Highmark Health (Richmond, VA)
- …a big impact for those we serve. This job performs highly complex benefit coding , new client and group installation, as well as set-up of network structures (eg ... processes and business rules. **ESSENTIAL RESPONSIBILITIES** + Perform highly complex benefit coding , new client and group installation, as well as set-up of network… more
- Humana (Richmond, VA)
- …case/when (or if/then) logic, and converting operational data into analytic/modeling datasets + ** Coding ** : SQL and Python/Pyspark will be your primary coding ... a positive impact on health outcomes; working with data; coding ; new technology; innovation + **Mindset** : curious; eager...Science, Engineering + 1 or more years of experience coding in SQL and/or Python + Expertise in creating… 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 with the ... **Minimum Requirements:** + Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1 year in fraud, waste abuse experience;… more
- Prometheus Federal Services (VA)
- …The Senior Data Analyst has deep expertise in healthcare data analytics, medical coding systems (ICD-10, CPT, HCPCS), SQL, and business intelligence tools. The ideal ... procedures to extract and manipulate large healthcare datasets. Hands-on coding skills are a must + Utilize Power BI...Office 365 environments + Provide expert analysis on medical coding systems such as ICD-10, CPT, and HCPCS, ensuring… more
- Datavant (Richmond, VA)
- …senior product manager with experience in revenue cycle management, in particular provider coding (inpatient and outpatient). You're one to get excited when you see ... your craft. As the product manager for the Provider Coding pod, your goal is to discover and develop...heart, this work is about alleviating the burden of coding from providers by reliably, quickly, and efficiently taking… more
- Walgreens (Chantilly, VA)
- …or internet-related tools. + Writes code that establishes and enhances coding specifications, typically for software programs and systems that have little ... applications + Experience writing automated test scripts + Experience creating coding /scripting solutions to fix complex problems/issues + Experience engaging and… more
- CVS Health (Richmond, VA)
- …Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard ... Stay informed about changes in the industry practices related to healthcare coding . Provide training opportunities for staff to maintain their CEUs. Assist in… more
- General Dynamics Information Technology (Fairfax, VA)
- …for preparation of data visualization and dashboard outputs** **Maintain requisite knowledge ( coding ) for managing and analyzing large data sets using Python, SQL, ... or R coding language.** **Experience with data management using Palantir Foundry.**...or more years** **of relevant experience, with emphasis on coding for managing and analyzing large data sets using… 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...Succeed:** + A minimum of 3 years of inpatient coding facility experience + CCS, RHIT, or RHIA preferred… more
- University of Virginia (Charlottesville, VA)
- …Cleared Admissions and Observation Stays. Medical Center Technical Coding oversight and management. Clinical Documentation Improvement functions impacting ... Revenue Cycle performance. Compliance and operational readiness. Strategic alignment of Technical Coding Services CDI UM and Revenue Integrity with the School of… more