• Senior Special Investigations Coding…

    CVS Health (Richmond, VA)
    …support effective and efficient scalability along with meeting or exceeding ROI. + Team Management: Conducts team member evaluations and provides performance ... supporting Aetna's Special Investigations Unit. Key Responsibilities: + Leadership: Leads a team of coding /nursing professionals who conduct reviews of medical… more
    CVS Health (05/24/25)
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  • Program Management Lead, Wholly Owned Medical…

    CenterWell (Richmond, VA)
    …rules to respond to inquiries and issues. + May participate or inform coder education programs on coding compliance. + Follows state and federal regulations as ... Payer calls/chart reviews. + May participate or inform provider education programs on coding compliance. + Exercises...team to motivate and guide program initiatives. + Coding Certification: preferably CPC/CPMA + Public speaking & group… more
    CenterWell (05/22/25)
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  • Director Enterprise Hospital Coding

    University of Virginia (Charlottesville, VA)
    The Director of Enterprise Coding is an integral member of the Revenue Cycle division, working closely with the financial and clinical operations to provide ... materials, internet sources, seminars and publications. + Provides guidance, communication and education on correct charge capture, coding and billing processes… more
    University of Virginia (04/03/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Richmond, VA)
    …**_Note: Eligibility for benefits may vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure that we continue to provide ... for the opportunity below: as Work from Home Inpatient Coding Auditorwith Parallon. **Benefits** Parallon, offers a total rewards...Highly qualified candidates will be directly contacted by a member of our team . **We are interviewing… more
    HCA Healthcare (04/17/25)
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  • Coding Analysis Technology Specialist

    HCA Healthcare (Salem, VA)
    …perform the day-to-day computer-assisted coding analysis as a member of the Coding Analysis Technology Team (CATT). **What you will do in this role:** + ... over 156,000 hours volunteering in our communities. As a Coding Analysis Technology Specialist with Parallon you can be...education preferences Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding… more
    HCA Healthcare (04/26/25)
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  • Risk Adjustment Coding Professional

    Humana (Richmond, VA)
    …analyzing coding information and medical records. May participate in provider education programs on coding compliance. Understands own work area professional ... Time. + **Travel:** May be authorized travel to attend Coding conference and or team building event,...+ A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is… more
    Humana (05/30/25)
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  • Coding Specialist, Senior

    Chesapeake Regional Healthcare (Chesapeake, VA)
    …to manager on a weekly/monthly basis any scheduled/assigned tasks/projects + Create case to coding team member any claims in your assigned worklist that ... The Senior Coding Specialist is responsible for performing coding...in as patient service representative as directed by manager Education and Experience Minimum Required Education : High… more
    Chesapeake Regional Healthcare (03/14/25)
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  • Senior Software Engineer- COBOL coding

    Humana (Richmond, VA)
    …foundation in COBOL mainframe development ** The Claims Adjudication System (CAS) team at Humana is essential in delivering core services through effective claims ... processing and management solutions. This position involves coding software applications based on business requirements and addressing moderately complex to complex… more
    Humana (05/16/25)
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  • Inpatient DRG Quality Auditor

    Humana (Richmond, VA)
    …issues requiring in-depth evaluation of variable factors. **Where you Come In** The Coding Quality Team is looking is an experienced and well-grounded medical ... put health first** In this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor… more
    Humana (05/30/25)
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  • System Configuration Specialist - SaaS

    Public Consulting Group (Richmond, VA)
    …sector solutions implementation and operations improvement firm that partners with health, education , and human services agencies to improve lives. Founded in 1986, ... committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in… more
    Public Consulting Group (05/23/25)
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