• Sr Software Engineer

    Humana (Richmond, VA)
    …compliance with the latest security standards. This role involves guiding the team in design, development, and implementation, while mentoring junior engineers. The ... + Lead and mentor developers in best practices and coding standards. **Use your skills to make an impact**...+ A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is… more
    Humana (06/03/25)
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  • Service Representative, Practi

    Chesapeake Regional Healthcare (Chesapeake, VA)
    …Excel, e-mail, Internet, and Microsoft(R) PowerPoint. + Ability to work effectively as a team member with physicians and other staff. + Ability to sort and ... make changes accurately. + Knowledge of CPT and ICD-10 coding . Skills: + Skill in operating office equipment +...effective working relationships with patients, employees, and the public EDUCATION : High school diploma or GED or 5 or… more
    Chesapeake Regional Healthcare (05/17/25)
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  • Investigator

    Highmark Health (Richmond, VA)
    …+ Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties involved by reviewing ... to unauthorized parties. + Other duties as assigned or requested. ** EDUCATION ** **Required** + Bachelor's Degree in Accounting, Finance, Business Administration,… more
    Highmark Health (05/08/25)
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  • Revenue Integrity Nurse Auditor

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    …coding / denial management and customer service issues. + Participates as a member of the chargemaster team , providing clinical support and expertise on ... Coder (COC; formerly CPC-H) required within 1 year of hire. + MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS + Graduate of a Bachelors of Science in Nursing… more
    Childrens Hospital of The King's Daughters (04/25/25)
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  • Medical Director - Care Plus - Florida

    Humana (Richmond, VA)
    …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional...the care received by members in an assigned market, member population, or condition type. May also engage in… more
    Humana (04/24/25)
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  • Quality RN

    CenterWell (Norfolk, VA)
    …and coding + Additional areas related to provider performance, member experience, market growth, provider experience and operational excellence **Use your skills ... Quality RN Professional collaborates with market leadership, and quality improvement team to develop and implement programs designed to increase patient outcomes.… more
    CenterWell (04/08/25)
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  • Information Technology Data Analyst (Jr) (Cleared)…

    IT Concepts (Springfield, VA)
    …you as our partner, let's solve challenges, think innovatively, and maximize impact. As a valued member of our team , you have the unique opportunity to work in a ... reporting requirements for the federal government. Preferred Skills: + Proficiency in coding languages such as Oracle and Python. + Experience with statistical… more
    IT Concepts (04/01/25)
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