• Diagnosis Related Group Clinical Validation…

    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...ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.… more
    Elevance Health (07/17/25)
    - Related Jobs

  • Clinical Documentation Specialist

    LifePoint Health (Martinsville, VA)
    …position will provide guidance and support, as well as assist with education and training related to improving clinical documentation. . Improves overall quality ... the medical record have been answered by the provider . Will utilize coding and clinical expertise to identify opportunities and ensure the accuracy and completeness… more
    LifePoint Health (06/23/25)
    - Related Jobs

  • Acute Care Facility Outpatient Coder

    HCA Healthcare (Richmond, VA)
    …rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) ... As a work from home Outpatient Coder, you will work outpatient coding related alerts/edits for same day surgery, observation, wound care, emergency department,… more
    HCA Healthcare (07/13/25)
    - Related Jobs

  • Revenue Integrity Charge Review Analyst

    HCA Healthcare (Salem, VA)
    …rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) ... you will do in this role:** + Conduct reviews of charging, coding , and clinical documentation, collaborating with Corporate Revenue Integrity Leadership during… more
    HCA Healthcare (07/11/25)
    - Related Jobs

  • Certified Professional Coder, Special…

    CVS Health (Richmond, VA)
    …(CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation ... other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC… more
    CVS Health (07/23/25)
    - Related Jobs

  • Charge Review Coordinator

    Highmark Health (Richmond, VA)
    …of work plans to correct identified deficiencies,providing guidance, communication and education on correct charge capture, coding and billing processes. ... RESPONSIBILITIES** + Reviews, analyzes and resolves accounts that have failed coding and charging related claim edits, including medical necessity, National Correct… more
    Highmark Health (07/26/25)
    - Related Jobs

  • Supervisor, Risk Adjustment Operations

    Datavant (Richmond, VA)
    …members. + Provide a summary of productivity findings on a daily basis, including education on time management and best coding practices. + Provide coaching and ... experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight...quality standards of the role. + Report trends for education opportunities to management for review and/or action. +… more
    Datavant (07/24/25)
    - Related Jobs

  • Inpatient Medical Coder - FT - Up to $5,000 Sign…

    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...CEUs every year + Stipend provided to assist with education and professional dues (AHIMA/AAPC) + Equipment: monitor, laptop,… more
    Datavant (06/25/25)
    - Related Jobs

  • Chargemaster Analyst II

    Intermountain Health (Richmond, VA)
    …the chargemaster as needed. This position will train and mentor teammates, provide education and guidance to revenue cycle and clinical teams, and assists with ... and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits including end of year CPT/HCPC changes and updates… more
    Intermountain Health (07/25/25)
    - Related Jobs

  • Clinical Provider Auditor II

    Elevance Health (Roanoke, 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 ... Requires a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1 year in fraud,...in fraud, waste abuse experience; or any combination of education and experience, which would provide an equivalent background.… more
    Elevance Health (07/22/25)
    - Related Jobs