• Clinical Documentation…

    Elevance Health (Richmond, VA)
    ** Clinical Documentation and Claims Integrity Director** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the ... through home-care and community based services. **The Clinical Documentation and Claims Integrity Director** will lead CareBridge's efforts in diagnostic… more
    Elevance Health (09/09/25)
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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 (09/06/25)
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  • DRG Coding Auditor

    Elevance Health (Richmond, VA)
    …for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues ... accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical… more
    Elevance Health (08/13/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Richmond, VA)
    …risk adjustment coding team and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure ... and that impact the team. Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates. +… more
    Evolent (08/14/25)
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  • Manager DRG Coding Validation

    Elevance Health (Roanoke, VA)
    …employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon ... Insights, formerly Payment Integrity , is determined to recover, eliminate and prevent unnecessary...medical-expense spending. The Manager of DRG Coding Audit & Clinical Validation leads a high-performing team responsible for auditing… more
    Elevance Health (09/09/25)
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  • Healthcare Data Scientist (Biostatistics Focus)

    Prometheus Federal Services (VA)
    …including hypothesis testing, mixed-effects models, and longitudinal analysis, to evaluate clinical and operational data. + Design and execute analytic studies to ... and stakeholders. + Collaborate with data owners to ensure data integrity , validity, and consistent definitions. + Establish statistically significant thresholds and… more
    Prometheus Federal Services (09/05/25)
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