- Elevance Health (Norfolk, VA)
- ** Clinical Provider Auditor I ( CPC )** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... granted as required by law.** The ** Clinical Provider Auditor I ( CPC )** is...or any combination of education and experience, which would provide an equivalent background. + Must achieve coding certification… more
- Elevance Health (Norfolk, VA)
- ** Clinical Provider Auditor II ( CPC )** **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying… more
- Elevance Health (Richmond, VA)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually ... Shift:** Monday - Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible… more
- WelbeHealth (Richmond, VA)
- …culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by ... clinical documentation within the health records, as well as...post-visit chart reviews + Oversee audits and participate in provider education programs to ensure compliance with CMS risk… more
- Datavant (Richmond, VA)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity...severity of a patient's health stats, **You will:** + Provide education through detailed feedback within audits. + … more
- Highmark Health (Richmond, VA)
- …Coder ( CPC ), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, ... meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more