- Humana (Richmond, VA)
- …direction and receives guidance where needed. Follows established guidelines/procedures. + Review medical documentation for clinical indicators to ensure correct ... our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …suspicion that the exam order is incorrect. + Utilizes the hospital electronic medical record to review patient information, enter preliminary reporting, and ... and minimize patient anxiety. + Contacts referring physician (or other appropriate medical personnel) for clarification prior to performing an exam if there is… more
- Elevance Health (Norfolk, VA)
- …editing policies into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and ... ICD-10 code. + Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …suspicion that the exam order is incorrect. + Utilizes the hospital electronic medical record to review patient information, enter preliminary reporting, and ... and minimize patient anxiety. + Contacts referring physician (or other appropriate medical personnel) for clarification prior to performing an exam if there is… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …and monitors patients before and during procedures. + Utilizes the hospital electronic medical record to review patient information and document any critical ... and help communities thrive. **Cardiac Sonographer Registered** **_-_** **Maryview Medical Center** **Job Summary:** The Cardiac Sonographer performs diagnostic,… more
- Bon Secours Mercy Health (Midlothian, VA)
- …suspicion that the exam order is incorrect. + Utilizes the hospital electronic medical record to review patient information, enter preliminary reporting, and ... accordance with department policies. + Contacts referring physician (or other appropriate medical personnel) for clarification prior to performing an exam if there… more
- Parexel (Richmond, VA)
- …Trial Investigators Meetings or to Sponsor staff. **Trial Conduct** + Ongoing medical review with transparent documentation of the activity, related findings ... medical questions and by ensuring good quality of data from CQM. + Medical review of and contribution to the content of Trial Newsletters + Contribution to… more
- Parexel (Richmond, VA)
- …Monitoring of critical data. Support close to real time clinical data Ongoing medical review with transparent documentation of the activity, related findings, ... important protocol deviations (iPD), providing input for compilation and review of trial iPD list from medical ...and review of trial iPD list from medical perspective, and support trial team in deciding on… more
- Sumitomo Pharma (Richmond, VA)
- …and Company policies + Serve as the regulatory member of the scientific Medical Review Committee (sMRC) to ensure regulatory compliance for medical ... submitted to regulatory authorities + In collaboration with Commercial, Medical and Legal colleagues, conduct a detailed review... Medical and Legal colleagues, conduct a detailed review and evaluation of the adequacy of clinical evidence… more
- CVS Health (Richmond, VA)
- …(SIU) to ensure compliance with coding practices through a comprehensive record review for medical , behavioral, transportation and other healthcare providers. ... the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and… more