• Compliance Audit Manager

    Cardinal Health (Richmond, VA)
    …ensure compliance with federal and state regulations and laws, CMS and other third-party payer billing rules and internal documentation, coding and billing ... subject matter expert and authoritative resource regarding federal, state and payer documentation, billing and coding rules and regulations, maintaining… more
    Cardinal Health (08/27/25)
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  • Manager DRG Coding Validation

    Elevance Health (Roanoke, VA)
    …with ICD-9/10CM, MS-DRG and APR-DRG. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, ... ** Manager DRG Coding Validation ( Manager Program...ensures that audits meet the industry's best practices and payer -specific requirements. + Collaborates cross-functionally with clinical, compliance, provider… more
    Elevance Health (09/09/25)
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  • Manager , Value Programs

    University of Virginia (Charlottesville, VA)
    The Value Programs Manager is responsible for the strategy and operational financial management of UPG's Value-Based Care portfolio. This role oversees the ... support program needs, and supervision of Practice Innovation's P&L's. The Manager will be responsible for establishing comprehensive management reporting systems to… more
    University of Virginia (09/04/25)
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  • Credit Resolution Specialist

    Childrens Hospital of The King's Daughters (Chesapeake, VA)
    …by the payer and patient is accurate. Reports to department manager . + ESSENTIAL DUTIES AND RESPONSIBILITIES + Maintains compliance related to government payers ... the credit. + Analyzes account to determine the credit reason. + Utilizes payer remits, payer websites, the billing system and other resources to determine… more
    Childrens Hospital of The King's Daughters (07/24/25)
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  • Occupational Therapist

    HCA Healthcare (Reston, VA)
    …the Rehabilitation Department, coordinating the submittal of accurate and timely billing and clinical information. Develops and strives for achievement of financial ... including the implementation of budgetary guidelines. Supports the Therapy Services Manager in managing the resources of the Rehabilitation Department in an… more
    HCA Healthcare (08/02/25)
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  • Speech Therapist PRN

    HCA Healthcare (Reston, VA)
    …the Rehabilitation Department, coordinating the submittal of accurate and timely billing and clinical information. Develops and strives for achievement of financial ... including the implementation of budgetary guidelines. Supports the Therapy Services Manager in managing the resources of the Rehabilitation Department in an… more
    HCA Healthcare (07/26/25)
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  • Physical Therapist

    HCA Healthcare (Reston, VA)
    …the Rehabilitation Department, coordinating the submittal of accurate and timely billing and clinical information. Develops and strives for achievement of financial ... including the implementation of budgetary guidelines. Supports the Therapy Services Manager in managing the resources of the Rehabilitation Department in an… more
    HCA Healthcare (07/10/25)
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  • DRG Coding Auditor

    Elevance Health (Richmond, VA)
    …or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
    Elevance Health (08/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Norfolk, VA)
    …guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. ... recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions… more
    Elevance Health (08/09/25)
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  • Payment Compliance Analyst

    HCA Healthcare (Richmond, VA)
    …Summary and Qualifications** The Payment Compliance Analyst works closely with the Payer Analysis Manager to provide financial analysis and operational support ... for Payment Compliance functions. Assists the Manager , Director and VP of Dispute Resolution with developing and maintaining reporting solutions necessary to support… more
    HCA Healthcare (09/07/25)
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