- HCA Healthcare (Richmond, VA)
- …work from home position.** **This position has a specialization in Inpatient Coding .** **Benefits** Parallon offers a total rewards package that supports the health, ... Apply Today! **Job Summary and Qualifications** As a Vendor Resource Management Coding Lead, you will be responsible for performing concurrent and retrospective… more
- Datavant (Richmond, VA)
- …and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a ... AI/ML and real-time data signals to surface high-impact suspects and coding opportunities. + Drive innovation leveraging interoperability standards (FHIR, HL7, APIs)… more
- Microsoft Corporation (Reston, VA)
- …some design decisions. Helps to assure system architecture meets security and compliance requirements and expectations. + Creates a clear and articulated plan for ... dependency and overlap with other teams or team members and drives coordination. ** Coding ** + Creates and implements code for a product, service, or feature, reusing… 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
- Elevance Health (Richmond, VA)
- …and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud ... aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations....Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1 year in fraud,… more
- Datavant (Richmond, VA)
- …denials across the entire revenue cycle to ensure optimal reimbursement and compliance with payer regulations. This role requires in-depth knowledge of healthcare ... revenue cycle processes, HIM coding practices, and proficiency in multiple electronic systems and...tools. The specialist serves as a key liaison between coding , billing, utilization review, case management, and payer relations… more
- Microsoft Corporation (Reston, VA)
- …CISO Operations is responsible for company-wide information security and compliance , with a strategic focus on information protection, assessment, awareness, ... security into system design and service lifecycles. * Define and enforce secure coding standards, conduct peer code reviews with a security-first mindset. * Build… more
- Steampunk (Mclean, VA)
- …approval workflows, payment runs and vendor reconciliations + Ensure accuracy and compliance by reviewing invoices for proper coding , authorization, and ... and leading and overseeing the full accounts payable process, ensuring compliance to Federal Government contract regulations and internal policies, managing vendor… more
- System One (Richmond, VA)
- …productivity in a fast-paced environment. Ad trafficking involves coordinating, substantiating, coding , reviewing and optimizing campaign tactics so they're ready to ... details are entered into the trafficking systems, trafficking instructions (matrices/ coding /tagging) are created, reviewed and executed accordingly, risk is… more
- Highmark Health (Richmond, VA)
- …of emerging changes related to payer policies, contracting, regulatory updates and compliance requirements + Facilitates monthly client meeting to review the revenue ... : + Implement robust quality assurance processes to ensure accuracy, compliance , and adherence to client-specific requirements. + Conduct regular audits and… more
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