• Clinical Documentation…

    Elevance Health (Richmond, VA)
    ** Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model ... Document Improvement Director** is responsible for leading encounter processing, diagnostic documentation and claims integrity across CareBridge. The ideal… more
    Elevance Health (07/18/25)
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  • Pharmacist - Claims Auditor/Reviewer…

    Conduent (Alexandria, VA)
    …where individuality is noticed and valued every day. **Pharmacist - Claims Auditor/Reviewer (Part-Time)** **Conduent Payment Integrity Solutions** **Are you ... help improve accuracy in healthcare billing?** **About the Role** Conduent's Payment Integrity Solutions team performs detailed pharmacy claims audits on behalf… more
    Conduent (06/21/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (VA)
    …patient care. POSITION SUMMARY This position is responsible for the interpretation of clinical documentation 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...findings. 4. Acts as a knowledge resource to ancillary clinical departments, patient financial services and revenue integrity… more
    Banner Health (06/15/25)
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  • Appeals and Grievances Coordinator - EG

    Healthfirst (VA)
    + Prepare cases for the clinical team by gathering documentation , loading evidence, and making calls to members and providers. + Perform administrative ... + Interacts with other departments including Contact Center Operations, Claims , DSE, and E&B to resolve member and provider...denial files from delegated vendors and prepares cases for Clinical Specialist reviews. + Maintains file integrity … more
    Healthfirst (07/18/25)
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  • RCO Appeals Specialist

    Intermountain Health (Richmond, VA)
    …RCO Appeals Specialist is responsible for researching and appealing denied medical claims . Responsible to proactively identify insurance denial trends and to then ... self-funded, State and Federal insurance) to appropriately appeal medical claims that have been denied. + Conducts and refers...true reason of the denial and review payer contracts, clinical data and other data to be able to… more
    Intermountain Health (07/18/25)
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  • Territory Manager

    ZOLL Medical Corporation (Roanoke, VA)
    …to promote consistent use (Local Medical Education Programs, Tradeshows, clinical symposiums and conferences). Call points include: Physicians (Cardiologists, ... essential ordering and billing requirements.Essential Functions + Provide customers with relevant clinical data that supports the risk of Sudden Cardiac Death in… more
    ZOLL Medical Corporation (07/13/25)
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