- HCA Healthcare (Richmond, VA)
- **Description** **Introduction** Do you have the career opportunities as a HIM and Coding Senior Manager you want with your current employer? We have an exciting ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...Do you want to work as a HIM and Coding Senior Manager where your passion for… more
- Elevance Health (Richmond, VA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for ... and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's...or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing… more
- Highmark Health (Richmond, VA)
- …performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- Cardinal Health (Richmond, VA)
- …and resource requirements across cross-functional teams (eg, IT, EHR/PM systems, coding , billing , compliance). + Collaborate closely with stakeholders in ... ability to manage multiple priorities in a fast-paced environment. + Familiarity with oncology coding , billing , and reimbursement models is a plus. PMP or other… more
- Cognizant (Richmond, VA)
- …and other teams. **In this role, you will:** + Review and resolve denied or rejected medical claims due to coding errors, ensuring accurate coding and ... **Cardiovascular Medical Coder** We strive to provide flexibility wherever...**Travel:** None required **About the role:** As an ICD-10 Coding Professional you will be responsible for reviewing/resolving … more
- Otsuka America Pharmaceutical Inc. (Richmond, VA)
- …in benefit verifications, prior-authorization requirements, or equivalent experience in patient access, billing , and coding in rare disease + Strong knowledge of ... **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on...related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide product… more
- HCA Healthcare (Richmond, VA)
- …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 ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- LifePoint Health (Galax, VA)
- …* Healthcare background including medical terminology, experience with computers, coding , insurance billing and retrievals, and general knowledge of the ... of a medical office is preferred. * Certified Medical Office Manager (CMOM) certification within one year of employment preferred. **See Above**… more
- Elevance Health (Norfolk, VA)
- …you will make 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. +… more
- Cardinal Health (Richmond, VA)
- …and pharmacy insurance benefit practices, preferred + 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience preferred + ... to Word, Outlook and preferred Excel capabilities + Previous medical experience is preferred + Adaptable and Flexible, preferred...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
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