- Elevance Health (Norfolk, VA)
- …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... + Requires a AA/AS and minimum of 3 years medical coding /auditing experience, including minimum of 1...experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). **Preferred Capabilities,… more
- HCA Healthcare (Dulles, VA)
- …years in a clinical management position. CERTIFICATION/LICENSE:MA or LPN/LVN is required. CPR Certification. CPC Coding is a requirement if coding duties are ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- University of Virginia (Charlottesville, VA)
- …allied health professionals and billing staff to support patient care documentation, coding and billing practices according to federal, state and local regulatory ... and education sessions for physicians, allied health professionals, residents, and coding and billing staff to support compliance with third party documentation… more
- CVS Health (Richmond, VA)
- …phone call handling history. + Strong mathematical skills. **Preferred Qualifications** + Coding experience, CMS, and/or CPC Certification. + Strong verbal and ... Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …by meeting accuracy rate as defined in annual goals and ensuring accuracy in medical record selection + Use knowledge to verify, review, and coordinates benefits on ... provide assistive training with teammates + Manage scanning for the patient medical record as required + Provides courteous service to all stakeholders (patients,… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …with billing regulations and trends in denials of services due to medical necessity or appropriateness of services. + Conducts compliance, defense, LifeNet and ... reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +...Professional Coder required. + Certified Outpatient Coder (COC; formerly CPC -H) required within 1 year of hire. + MINIMUM… more
- Elevance Health (Roanoke, VA)
- …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent ... you make an impact:** + Claim reviews for appropriate coding , data mining, entity review, law enforcement referral, and...Skills & Capabilities** + Professional certification of CFE, AHFI, CPC , Paralegal, RN, JD or other job related designation… more