- Humana (Richmond, VA)
- …about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and ... validate the mitigation of compliance risk across the organization. This team ensures that...healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience… more
- Highmark Health (Richmond, VA)
- … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... and compliance programs to improve documentation which supports compliant coding . Interacts with external consultants regarding billing, coding and/or… more
- Humana (Richmond, VA)
- …Inpatient medical coding , analytics, health record security and privacy, HIPAA compliance , and data governance. + Hold at least one of the following AHIMA ... help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Elevance Health (Roanoke, VA)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work virtually ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete reimbursement to the health ... timely manner. + Prepares trend and other reports for compliance audits and charge processes. + Serves as a...reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +… more
- HCA Healthcare (Falls Church, VA)
- …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company… more
- Capital One (Mclean, VA)
- …information, issues and audit progress to teammates, clients and auditor -in-charge.** **-Perform various aspects of engagement administration, including hours and ... understanding of data, innovation, and technology will only make you a better auditor . This will require leveraging the power of data analytics and furthering your… more
- Capital One (Mclean, VA)
- …understanding of data, innovation, and technology will only make you a better auditor . This will require leveraging the power of data analytics and furthering your ... to identify trends, patterns, and anomalies, including experience in test scripting, coding (writing, reviewing, or assessing) or a combination** + **At least 4… more
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