• Claim Audit Quality…

    CVS Health (Richmond, VA)
    …each and every day. **Position Summary** The Quality Specialist will audit pre and post payment claims for accuracy and eligibility transactions. They ... identifying errors, necessary corrective measures, and may participate in special audit assignments. **Required Qualifications** + 1+ years of experience working in… more
    CVS Health (10/16/25)
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  • Facility Coding Inpatient DRG Coding…

    Banner Health (VA)
    …coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing ... to work and receive care. In this **Inpatient Facility/HIMS Certified Medical Coder, Quality Associate** position, you bring your **5 years of acute care inpatient… more
    Banner Health (10/16/25)
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  • DRG Coding Auditor

    Elevance Health (Richmond, VA)
    …letters. + Maintains accuracy and quality standards as set by audit management for the auditing concept, valid claim identification, and documentation ... responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of...purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside… more
    Elevance Health (10/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Richmond, VA)
    …and reference information to generate audit determinations and formulate detailed audit findings letters. + Maintains accuracy and quality standards as ... clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise,...Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation… more
    Elevance Health (09/23/25)
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  • Lead Medical Records Technician(Outpatient…

    Veterans Affairs, Veterans Health Administration (Salem, VA)
    …coding, abstracting, and use of the electronic health record and encoder software. Ensure audit findings and claim denials related to coding errors are resolved ... abstracting, and use of the electronic health record and encoder software. They ensure audit findings and claim denials related to coding errors are resolved… more
    Veterans Affairs, Veterans Health Administration (10/16/25)
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  • Senior Principal Supply Chain Subcontract…

    Northrop Grumman (Dulles, VA)
    …Space Systems Sector is seeking a Senior Principal Supply Chain Subcontracts Specialist for our Tactical Space Systems Division. **This is an on-site position ... reviewing SOWs/Tech Docs, issuing RFPs, analyzing proposals, evaluating commerciality claims , approving source justifications and technical evaluations, completing price/cost… more
    Northrop Grumman (09/30/25)
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