• Med Rec Tech (Coder Outpat)

    Veterans Affairs, Veterans Health Administration (Fredericksburg, VA)
    …determines level of E/M service provided. Understands the nuances of the CPT coding system for Third Party Insurance cost recovery and accurately interprets ... Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Assigns codes to documented patient care encounters… more
    Veterans Affairs, Veterans Health Administration (06/04/25)
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  • Inpatient DRG Quality Auditor

    Humana (Richmond, VA)
    …put health first** In this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization, including offshore and vendor ... is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and assigns… more
    Humana (05/30/25)
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  • Medical Coder III

    SAIC (VA)
    …for a Full-Time **Remote** Medical Coder III to provide remote medical coding support to government Medical Treatment Facilities assigned under the Defense Health ... Agency (DHA) Medical Coding Program Branch. This position is 100% remote and...conform to specific payer requirements for the business office ( insurance billing, accounts receivable) is not a qualifying factor.… more
    SAIC (05/29/25)
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  • Risk Adjustment Trainer

    Datavant (Richmond, VA)
    …+ Understanding of Medicare, Commercial and Medicaid risk adjustment business logic and coding + Knowledge and understanding of health insurance plans operations ... Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy...Risk Adjustment Coding Department through improving overall coding accuracy and performance for our clients. In this… more
    Datavant (05/07/25)
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  • Inpatient Coder

    HCA Healthcare (Richmond, VA)
    …Schedule! Full-time 40 Hour Work Week!** **Must have ACUTE CARE inpatient coding experience.** **Benefits** Parallon, offers a total rewards package that supports ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
    HCA Healthcare (05/09/25)
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  • Acute Care Outpatient Coder

    HCA Healthcare (Richmond, VA)
    …Schedule! Full-time 40 Hour Work Week!** **Must have ACUTE CARE outpatient coding experience in a facility.** **Benefits** Parallon, offers a total rewards package ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
    HCA Healthcare (06/05/25)
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  • CBO Insurance Resolution Specialist

    University of Virginia (Charlottesville, VA)
    …systems and payer websites as well as the knowledge of medical billing and coding guide- lines to resolve insurance denials and guarantor/patient inquiries. The ... The Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure that Medical Center receives correct… more
    University of Virginia (04/25/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Richmond, 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
    Elevance Health (06/04/25)
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  • Patient Access Associate Insurance…

    Intermountain Health (Richmond, VA)
    …Specialist I is responsible for accurately verifying and completing insurance eligibility, securing prior authorization and managing authorization related denials ... patient and guarantor + Accurately verifies all pertinent patient related insurance eligibility, benefits, authorization; follow-up on appeals and denials when… more
    Intermountain Health (06/03/25)
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  • Patient Access Tech II

    Childrens Hospital of The King's Daughters (Norfolk, VA)
    …office or medical services organization. + Must be familiar with ICD-9/CPT coding , third party payer insurance verification processes and medical terminology. ... to department leadership. + ESSENTIAL DUTIES AND RESPONSIBILITIES + Performs insurance verification for active policy, confirmation of benefits or authorization… more
    Childrens Hospital of The King's Daughters (05/30/25)
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