- Elevance Health (Norfolk, VA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** Provider Auditor ** conducts on-site ... ** Provider Auditor ** _This position will work...** Provider Auditor ** _This position will work a hybrid model...or any combination of education and experience, which would provide an equivalent background. RN, LPN or medical… more
- Highmark Health (Richmond, VA)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with ... related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding,… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …auditing. CERTIFICATES AND LICENSES REQUIRED: MUST POSSESS ONE OF THE FOLLOWING: + Certified Information Systems Auditor (CISA); + Certified Information ... Information Systems Auditor ( Auditor IV) Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/5064087) Apply Information Systems … more
- Elevance Health (Norfolk, VA)
- …- Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work...preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider … more
- Elevance Health (Richmond, VA)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR ** is responsible for ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ This...or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines,… more
- Somatus (Mclean, VA)
- …best version of themselves, including: + Subsidized, personal healthcare coverage ( medical , dental vision) + Professional Development, CEU, and Tuition Reimbursement ... and mental well-being + Community engagement opportunities + And more! The Quality Auditor effectively and efficiently manages a diverse workload in a fast- paced,… more
- Datavant (Richmond, VA)
- …As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate ... severity of a patient's health stats, **You will:** + Provide education through detailed feedback within audits. + ...+ High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified… more
- Humana (Richmond, VA)
- …us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently operates about 340+ senior focused primary care centers ... that assure compliance with federal and/or state requirements related to Provider Clinic operations, billing, investigations, and processes. Coordinates site visits… more
- Truist (Richmond, VA)
- …advisory skills. 12. Appropriate professional certification, such as, but not limited to Certified Internal Auditor , Certified Information Systems Auditor ... materiality and demonstrate awareness of big picture issues. 6. Provide leadership and development by coaching and mentoring new...3. Has Audit and risk based certifications such as Certified Internal Auditor (CIA), Certified … more
- NANA Regional Corporation (Fort Belvoir, VA)
- …they align with DoD 8140 qualification standards for Security Control Assessors: + Certified Information Systems Auditor (CISA) + Certified Information ... program sites to assess information assurance posture, coordinate support activities, and provide tailored compliance guidance. + Assist in the review of technical… more