• Pro Fee Audit Specialist Full Time

    Datavant (Richmond, VA)
    …If Applicable + Equipment: monitor, laptop, mouse, headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional ... vision for healthcare. **What We're Looking For:** As a Profee Auditing Specialist , you will be instrumental in addressing consulting and educational needs related… more
    Datavant (07/14/25)
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  • Coding Auditor Educator

    Highmark Health (Richmond, VA)
    …**GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data ... (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified… more
    Highmark Health (05/09/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (VA)
    …current and progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified ... Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Specialist -Physician (CCS-P) or Registered Health Information Technologist… more
    Banner Health (06/15/25)
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  • SIU Specialist - Remote in the California…

    Prime Therapeutics (Richmond, VA)
    …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description** Responsible for the intake ... in accordance with procedures or to present to management to recommend for audit or investigation. Serves as a corporate resource on fraud, waste and abuse… more
    Prime Therapeutics (06/24/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Richmond, VA)
    coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery ... findings letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by… more
    Elevance Health (06/10/25)
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  • Principal Associate - Credit Controls Management

    Capital One (Richmond, VA)
    …available means + Assist in reviewing documentation of variables used to define coding for system logic + Conduct control testing to verify design, execution, and ... risk management teams to coordinate research and ground findings + Provide training and overviews of team processes or recently completed evaluations + Document… more
    Capital One (06/25/25)
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