- CenterWell (Richmond, VA)
- …and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis ... Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse scope and complexity ranging from… more
- Highmark Health (Richmond, VA)
- …Network **Job Description :** **GENERAL OVERVIEW:** Primarily responsible for assisting the Coding Manager within the Coding Department. Assists in the ... timekeeping and supervision responsibilities of team, providing technical expertise for coding content and functions within the department. The supervisor is… more
- Elevance Health (Roanoke, VA)
- Manager of DRG Coding Audit-Program/Project Locations: _The selected candidate must reside within a reasonable commuting distance of the designated posting ... eliminate and prevent unnecessary medical-expense spending. The **Manager of DRG Coding Audit** leads a high-performing team responsible for auditing inpatient… more
- Humana (Richmond, VA)
- …our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management (CEVM) contributes to overall cost ... requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit operational processes and performance… more
- Elevance Health (Richmond, VA)
- …adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence to providers regarding coding ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… 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
- Erickson Living (Springfield, VA)
- …retrieving medical charts, and answering phones + Ensure the accuracy of registration, insurance verification, and coding , and charge entry into the electronic ... health record + Prepare employee for examination by the healthcare provider to include the following: recording vital signs including weight and BMI and preparing a patient (eg, assisting with placing on a gown or exposing an affected area of the body for… more
- HCA Healthcare (Reston, VA)
- …familiar with Medicare guidelines/regulations, billing and collection techniques, managed care, coding and insurance carrier rules and regulations. . Management ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- Datavant (Richmond, VA)
- …Risk Adjustment Operations is responsible for the oversight and management of coding production, quality, and vendor management. This role is responsible for ... status, trends, coaching/feedback methods and coordination of additional resources to support coding production and quality. **What You Will Do:** + Create and… more
- Highmark Health (Richmond, VA)
- …data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL ... and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more