- General Dynamics Information Technology (Fairfax, VA)
- …Management Association (AHIMA) **Experience:** 8 + years of related experience **Job Description:** ** HEALTHCARE Coding Subject Matter Expert** At GDIT, ... people are our differentiator. As a Healthcare Coding Subject Matter Expert (SME) supporting the Centers for Medicare and Medicaid (CMS), you will be… more
- Datavant (Richmond, VA)
- …production. + Apply guidelines and concepts as indicated. + Serve as resource and subject matter expert to staff. + Ensure compliance with HIPAA regulations and ... educational and life experiences to realize our bold vision for healthcare . The Coding Supervisor serves as a working supervisor with oversight and management… more
- SMX (Fort Belvoir, VA)
- Data Engineer (AI) Subject Matter Expert (SME) (4799) (TS/SCI) (Ft. Belvoir, VA - Nolan Bldg)at SMX(View all jobs) (https://www.smxtech.com/careers/) Fort ... Belvoir, VA SMX is seeking a **Data Engineer (AI) Subject Matter Expert (SME)** to spearhead the...and deployments from team members; develop quality standards and coding conventions. **Data Architecture & Platform Enablement** + Define… more
- Banner Health (VA)
- … in accordance with all regulatory requirements and AHIMA Standards of Ethical Coding . Acts as subject - matter expert regarding experimental and newly ... Works under general supervision using specialized expertise in the subject matter . Works within a set of...coding experience in Acute Care inpatient facility or healthcare system. Must be able to work effectively and… more
- Cardinal Health (Richmond, VA)
- …and staff regarding coding insufficiencies. + Serves as institutional subject matter expert and authoritative resource regarding federal, state and ... documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC documentation coding rules; medical terminology; E/M rules; healthcare compliance audit… more
- CVS Health (Richmond, VA)
- …in clinical meetings with care management and utilization management teams, offering subject matter expertise on all ABA-related questions and member concerns. ... systems, utilization methodologies, reimbursement models, and treatment protocols. * Offer subject matter expert support for Medicaid-wide initiatives that… more
- Elevance Health (Norfolk, VA)
- …stop loss business, including complex specialized claims within Service Experience. Serves as the subject matter expert for the unit. **How you will make an ... quality improvement opportunities and initiates basic requests related to coding or system issues, where applicable. + Refers overpayment...- all the above, plus : Service as a subject matter expert for Policy and Clinical… more
- Highmark Health (Richmond, VA)
- …review their code, and engage in manual testing. The incumbent is to act as subject matter expert and provide guidance and resolve questions from other test ... assigned. **EDUCATION** **Required** + Bachelor's Degree Information Systems, Healthcare Administration or closely related field **Substitutions** + None… more
- Highmark Health (Richmond, VA)
- …and systems to connect and align on data sourcing, flow, structure, and subject matter expertise. Work with business stakeholders and strategic partners to ... with the development and maintenance of these solutions. This includes coding data ingestion pipelines, transformations and delivery programs/logic for people and… more
- Highmark Health (Richmond, VA)
- …Application Server, Apache Web Server, App Connect Enterprise (ACE), and IBM MQ. **Preferred:** Subject Matter Expertise (SME) in one or more of the listed ... for one or many of the following tasks: analyzing, designing, coding , testing andimplementingtechnical solutions, as well as providing general production monitoring… more
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