- WelbeHealth (Richmond, VA)
- …Work closely with Coding Supervisor in identifying opportunities for HCC coding education **Job Requirements:** + Associates Degree preferred; three (3) ... and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care,...years of related experience or a combination of healthcare-related education and experience in coding and auditing… more
- Elevance Health (Ashburn, VA)
- …of an Extraordinary Team ** Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, ... spending. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role… more
- CenterWell (Richmond, VA)
- … (post-visit) team . The lead analyzes the performance of the offshore coding team and creates strategies to maximize associate output. The **Program ... to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows...from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is… more
- HCA Healthcare (Richmond, VA)
- …Eligibility for benefits may vary by location._** We are seeking an Acute Care Inpatient Coding Specialist for our team to ensure that we continue to provide all ... your application for the opportunity below: Acute Care Inpatient Coding Specialist Parallon **Benefits** Parallon offers a total rewards...Highly qualified candidates will be directly contacted by a member of our team . **We are interviewing… more
- Humana (Richmond, VA)
- …guidelines/procedures. As a Medical Coding Auditor for the Hospital Outpatient/APC Coding Team you will: + Verify and ensure the accuracy, completeness, ... of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure… more
- Humana (Richmond, VA)
- …and help us put health first** The Senior Payment Integrity Professional - Inpatient Coding Disputes on the Disputes Team consults and collaborates with ... coding professionals across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. + Will be a SME (Subject… more
- Elevance Health (Richmond, VA)
- …eliminate and prevent unnecessary medical-expense spending. The **Managers of DRG Coding & Clinical Validation** leads a high-performing team responsible ... Manager of DRG Coding Audit-Program/Project Locations: _The selected candidate must reside...required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon… more
- Humana (Richmond, VA)
- …record review knowledge + 2 or more years of risk adjustment provider education + Familiar with coding guidelines (ie ICD-9/ICD-10) + Comprehensive knowledge ... of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation and creates an … more
- University of Virginia (Charlottesville, VA)
- …resolve problems. Change is met with positive, supportive behavior. 4. Participates as a team member and is accountable for own work responsibilities. Time off ... the regulatory compliance profession, research and auditing procedures, and certified coding regulatory and/or financial billing rules. Uses professional verbal and… more
- Highmark Health (Richmond, VA)
- …the potential impact of policy changes on clinical outcomes, cost, and member experience. + **Operational Integration & Coding :** Engage non-clinical teams ... care costs, improved outcomes and quality of care received, and optimal member /patient and provider experiences with care delivery. The incumbent will also act… more