- Humana (Richmond, VA)
- …Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… 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 ... **DRG Coding Auditor (DIAGNOSTIC RELATED GROUP)** _This...and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's… more
- Baylor Scott & White Health (Richmond, VA)
- **JOB SUMMARY** The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing ... feedback to coders. The Coding Auditor 1 utilizes the International Classification...and abstracting function. Strong knowledge of anatomy, physiology, and medical terminology. Demonstrated competency of the use of computer… more
- Elevance Health (Richmond, VA)
- …of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid...an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and… more
- Capital One (Richmond, VA)
- Principal Auditor - Cyber, Risk & Analysis (Hybrid) **Capital One's Audit function is a dedicated group of professionals focused on delivering top-quality assurance ... information, issues and audit progress to teammates, clients and auditor -in-charge. -Perform various aspects of engagement administration, including hours and… more
- Elevance Health (Richmond, VA)
- …related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II**...+ Requires an AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1… more
- CVS Health (Richmond, VA)
- … Coding Certification - Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), Certified Outpatient Coder (COC), Certified Risk ... Coders (CPC). The Manager is responsible for overseeing and managing coding reviews for fraud detection, investigation, and prevention efforts to safeguard… more