- 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 to substantiate conclusions. + Utilizes audit tools,… more
- Highmark Health (Richmond, VA)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and ... demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days.… more
- Intermountain Health (Richmond, VA)
- …system-wide initiative levels. + Monitors for positive or negative trends in coding , charge capture and/or editing processes to improve teams' performance. + ... regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits. + Audits and evaluates system...Data Analysis + Healthcare Regulations + Process improvement + Health Insurance + CMS + Problem solving + Data… more
- Datavant (Richmond, VA)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Our platform is powered by the largest, most diverse health data network in the US, enabling data to...instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding… more
- Datavant (Richmond, VA)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Our platform is powered by the largest, most diverse health data network in the US, enabling data to...instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding… more
- Cytel (Richmond, VA)
- …in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (eg, MedDRA, WHO Drug). This ... advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject… more
- Datavant (Richmond, VA)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Our platform is powered by the largest, most diverse health data network in the US, enabling data to...instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding… more
- CVS Health (Richmond, VA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...with, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) coding guidelines and principles.… more
- University of Virginia (Charlottesville, VA)
- …the regulatory compliance profession, research and auditing procedures, and certified coding regulatory and/or financial billing rules. Uses professional verbal and ... and findings of compliance research, analysis and decision-making. Ensures health system compliance with applicable regulatory, accreditation and requirements. The… more
- Highmark Health (Richmond, VA)
- …role requires expertise in analyzing customer requirements, designing robust architectures, coding , thorough testing, and deploying solutions that strictly adhere to ... **ESSENTIAL RESPONSIBILITIES** + Takes a lead role for analyzing, designing, coding , testing and implementing more complex application enhancements, as well as… more