- Humana (Winchester, VA)
- …(DMAS), Center for Medicare and Medicaid Services (CMS) and the National Committee on Quality Assurance (NCQA). **Use your skills to make an impact** **Required ... point of contact. providing integrated care to ensure members receive timely, high- quality , and coordination services that meet their unique needs. This position… more
- Banner Health (VA)
- …- you belong at Banner Health. In this **Inpatient Facility/HIMS Certified Medical Coder, Quality Associate ** position, you bring your **5 years of acute care ... completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes. Works with… more
- Travel + Leisure Co. (Alexandria, VA)
- …with other departments. (10% time) * Ensure compliance with: Internal Audit, Quality Assurance , Loss Prevention, Resort Operating Procedures, Guest Service ... efficient and effective manner possible, while maintaining the company's expected high quality standards and Count On Me philosophy. He/She will be responsible for… more
- Banner Health (VA)
- …manager for clarification/additional information for accurate code assignment. 3. Provides coding quality assurance for medical records. For all assigned records ... productivity standards, which are currently more stringent than most national standards identified. Quality standards are set at a DRG accuracy rate of 95% or higher… more
- Humana (Richmond, VA)
- …Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance , and compliance + Determining root causes driving issues ... responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new… more
- NTT America, Inc. (Ashburn, VA)
- …existing standards and processes + Works with contractors and consultants to review quality assurance for all system expansions, corrections, and upgrades + ... data center problems are identified and repaired quickly, that contractors deliver quality services, and that internal customer demands are met. **What you'll be… more
- Amazon (Virginia Beach, VA)
- …audit, investigations, law enforcement, military, risk management, data analytics, inventory control, quality assurance or bachelor's degree in a related field ... The Loss Prevention Specialist (LPS) is a key hourly associate position within Amazon Operations. To keep our 24/7...our external security service providers to ensure delivery of high- quality security services and a smooth customer experience. You… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …appropriately for procedures, performs all procedures per protocol, participates in quality assurance and performance improvement programs as requested. ... Health, we are dedicated to continually improving health care quality , safety and cost effectiveness. Our hospitals, care sites...addresses the physical demands and work position of the associate in the role. Please identify the frequencies for_… more
- BrightSpring Health Services (Wytheville, VA)
- …and reimbursement models. Ensure compliance with regulatory requirements through quality assurance activities. Multiple resource and/or reimbursement models ... evaluations when scheduled + Improves processes within a department emphasizing quality and efficiency + Anticipates and resolves problems demonstrating good… more
- Bon Secours Mercy Health (Midlothian, VA)
- …of available computer functions to optimally visualize desired anatomy; performs quality assurance tests as specified by department protocol; demonstrates ... Bon Secours Mercy Health, we are dedicated to continually improving health care quality , safety and cost effectiveness. Our hospitals, care sites and clinicians are… more
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