- 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
- Oracle (Richmond, VA)
- …data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in ... records. + In-depth understanding of supporting evidence requirements for accurate coding . + Practical experience using grouper software for MS-DRG and APR-DRG… more
- 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
- 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...Analysis + Healthcare Regulations + Process improvement + Health Insurance + CMS + Problem solving + Data Mining… more
- Highmark Health (Richmond, VA)
- …and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ... 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
- Humana (Richmond, VA)
- …audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support ... 2 validates and interprets medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to conduct a clinical… more
- Humana (Richmond, VA)
- …a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that ... May apply intermediate mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from a variety of medical records and… more
- Cognizant (Richmond, VA)
- …on **ICD-10-CM** (International Classification of Diseases) and **PCS** (Procedure Coding System) standards. . **Responsibilities** + Review clinical documentation ... (not physician's office) **Qualifications** + **Experience:** 2-5 years in Hospital-based impatient coding . + **Current coding credential:** CCS (AHIMA) or CPC,… more
- Oracle (Richmond, VA)
- …guidelines, and Clinical Documentation Improvement experience. + Knowledge of medical and insurance terminology, MS-DRG, APR-DRG, CPT, ICD coding structures, and ... burden of clinical and reimbursement tasks such as charting, documentation, and coding by applying power of generative AI. Our diverse team of creators… more
- Oracle (Richmond, VA)
- …systems to support real-time data processing for analytics platforms. + ** Coding :** Leverages industry best practices to write correct, secure, maintainable, robust ... + BS or MS degree in Computer Science or relevant technical field involving coding or equivalent practical experience + 4-8 years of total experience in software… more