- Highmark Health (Richmond, VA)
- …Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but ... (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment… more
- HCA Healthcare (Reston, VA)
- …**Introduction** Do you have the career opportunities as a Medical Collections Specialist you want with your current employer? We have an exciting opportunity ... HCA Healthcare. We are looking for a skilled collections specialist to work Monday-Friday between the hours of 8:30...ensure prompt payment + You will identify coding or billing errors from EOBs and work to correct them… more
- Evolent Health (Richmond, VA)
- …for the culture. **What You'll Be Doing:** The **Risk Adjustment HCC Coding Support Specialist ** at Evolent will be an intricate part of the Risk Adjustment coding ... Be Doing:** As a Risk Adjustment HCC Coding Support Specialist , you will perform a comprehensive review of progress...Experience in working with Primary Care Providers, Payers and/or Billing with college course work and working knowledge of… more
- Intermountain Health (Richmond, VA)
- …information from the patient or representative. Details: As an Insurance Authorization Specialist you need to know how to: Verify the ordering clinician credentials ... on outpatient encounters. Work daily reports to ensure all payer specific billing requirements and authorization requirements are met. Obtain and verify necessary… more
- Banner Health (VA)
- …record(s) and for quality assurance in the alignment of clinical documentation and billing codes. Works with medical staff and quality management staff to correctly ... align diagnosis documentation and billing coding to improve the quality of clinical documentation...of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG), and Ambulatory Payment Classification… more
- ACI Federal (Norfolk, VA)
- …with Part C, Medicaid and agency requirements. Ensures that documentation substantiates billing by completing documentation in the client's record within 3 days of ... regulations in the field of early intervention and developmental disabilities. * Medicaid Billing Requirements * Awareness of the rights and needs of persons with… more
- ACI Federal (Norfolk, VA)
- …with agency guidelines and state regulations. Ensures that documentation substantiates billing by completing documentation and submitting filing within 72 hours of ... agency vehicles in the performance of their duties. Certificate of completion for peer specialist training. This job description is not intended to be and should not… more