- HCA Healthcare (Richmond, VA)
- …general/focus education for facility leaders on (but not limited to) compliance , medical necessity , charge practices, coding requirement etc. + Tracks ... join an organization that invests in you as a Medical Necessity Compliance Coordinator? At...substitute education requirements. + Minimum 3 years of hospital coding experience preferred + Minimum 5 years healthcare experience… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …for each outpatient visit, ensuring coding compliance based on approved coding guidelines and conventions + Abstract medical data from the record to ... and other healthcare professionals in obtaining documentation to complete medical records and ensure quality coding +...chart documentation for accurate diagnosis and procedure reporting for medical necessity and other edits. + Complete… more
- HCA Healthcare (Richmond, VA)
- …employees for MRA coding opportunities + Ensure that codes assigned meet medical necessity requirements by Medicare and other carriers + Create and assist ... Improvement Specialist (Quality Improvement/Medicare Risk Adjustment)** will monitor and audit medical record documentation, coding and quality measures in the… more
- Cardinal Health (Richmond, VA)
- …detection and correction of documentation, coding , and billing errors and/or medical necessity of services billed. Particular areas of focus include: ... assigned. **_Qualifications_** + 4-8 years experience in physician and/or hospital technical coding /auditing, medical necessity reviews, or related work.… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding , and the structure and format of a health ... courses in medical terminology, anatomy and physiology, medical coding , and introduction to health records);...assign, and sequence codes into encoder software to support medical necessity , resolve encoder edits, and ensure… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …hospital documentation, assigning modifiers to appropriate claims, researching edited claims for medical necessity , and advising the revenue cycle staff of ... and Analysis, and outside consultants to analyze, review and assess identified billing, coding , charging and compliance issues. + Understands and reviews payer… more
- CenterWell (Portsmouth, VA)
- …medical management system, assigning an appropriate provider, reviewing for benefits, and/or medical necessity as required or pending to a nurse or supervisor ... office, health care, or managed care environment + Certified Medical Coder with one of the following active certifications...AHIMA) + Strong experience in ICD-9, ICD-10 and CPT coding + Prior management or supervisory experience + Highly… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …billing regulations and trends in denials of services due to medical necessity or appropriateness of services. + Conducts compliance , defense, LifeNet and ... record management systems. + Knowledge of quality management methodologies, medical record documentation, compliance requirements and performance improvement… more
- Highmark Health (Richmond, VA)
- …and in writing when the information provided is not adequate to make a medical necessity determination + Maintain or exceed department call center standards + ... based on the benefits for the line of business, and in compliance with the organization's policies, procedures and regulatory requirements. Document, process and… more
- University of Virginia (Charlottesville, VA)
- …managing endocrine disorders for inpatients across multiple service lines at UVA Medical Center in Charlottesville, VA. The successful candidate will join a growing ... be managed in collaboration with an attending endocrinologist. As an academic medical center, UVA possesses a rich culture of continual education and professional… more