- University of Virginia (Charlottesville, VA)
- …and coding reference software and/or books). + Trains and mentors Coding Quality Specialists to effectively perform their job responsibilities following ... High School Diploma or GED Experience: Five years of coding /clinical experience with training in 1- 3 specialties Licensure: Must be CPC through AAPC or CCS-P… more
- University of Virginia (Charlottesville, VA)
- …and coding reference software and/or books). + Trains and provides mentorship to Coding Quality Specialist Level 1 staff to effectively perform their job ... findings/resolution of errors. + Manages assigned charge review and coding -related claim edit work queues to ensure timely and...the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary… more
- HCA Healthcare (Richmond, VA)
- …each individual is recognized. Submit your application for the opportunity below: Outpatient Coding Resolution Specialist Parallon **This is a work from home ... wellbeing + 401(k) Plan with a 100% match on 3 % to 9% of pay (based on years of...may vary by location._** We are seeking an Outpatient Coding Resolution Specialist for our team to… more
- CVS Health (Richmond, VA)
- …, and/or auditing. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + CRC (Certified Risk Adjustment Coder) + ... regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient… more
- Deloitte (Mclean, VA)
- …registered nurse, physician, physician assistant, case manager, clinical documentation specialist , utilization review, informatics RN, Quality , DRG Validation ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality , Case Management, Finance, Revenue Cycle, and Coders +… more
- ASM Research, An Accenture Federal Services Company (Richmond, VA)
- …discipline, such as application support, database administration, software quality assurance/ quality control, software engineering, network telecommunications, ... Monitoring, triage, research, resolution (via SOP) or escalations of tickets to Tier 3 Analysis of ticket types and categories to identify trends and needed… more
- HCA Healthcare (Richmond, VA)
- …care like family! Jump-start your career as a(an) Charge Entry Specialist today with Henrico Cardiology Associates. **Benefits** Henrico Cardiology Associates offers ... wellbeing + 401(k) Plan with a 100% match on 3 % to 9% of pay (based on years of...location._** Come join our team as a(an) Charge Entry Specialist . We care for our community! Just last year,… more
- Oracle (Richmond, VA)
- …burden of clinical and reimbursement tasks such as charting, documentation, and coding by applying power of generative AI. Our diverse team of creators ... arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for developing the Claim Denial… more
- Datavant (Richmond, VA)
- …our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal role in ... secondary diagnoses, and procedure impact on DRG. + Improve coding specificity by educating physicians and caregivers on the...quality metrics. **What You Need to Succeed:** + 3 + years of CDI experience + 3 +… more
- Intermountain Health (Richmond, VA)
- **Job Description:** The Reimbursement Specialist is responsible for performing a variety of complex duties, including working insurance claims follow-up and ... escalations, interpreting contract language, and tracking trends. This specialist works facility claims ("Hospital billing") and maintains inventory (work queue… more
- Arena Technical Resources, LLC (Reston, VA)
- Software Engineer - Database Specialist Location: Reston, VA, US Job ID: ATR 17699 Job Description Job Title: Software Engineer - Database Specialist Job ... will be responsible for programming in a variety of coding languages and have been exposed to front and...via a request from the customer to the formal quality testing and customer training for the final product,… more
- Datavant (Richmond, VA)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... documents and records + Meets or exceeds production and quality metrics + Attend all mandatory meetings and trainings...Regulations, URAC and NCQA preferred + ICD10 and CPT coding a plus + Experienced computer skills, Word, Excel,… more
- Oracle (Richmond, VA)
- …strong and productive; someone who knows how to balance speed and quality with iterative and incremental improvements. You understand operational excellence and ... degree in Computer Science or relevant technical field involving coding or equivalent practical experience. + 10+ years of...opinion 2. Short term disability and long term disability 3 . Life insurance and AD&D 4. Supplemental life insurance… more
- Banner Health (VA)
- …appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysts, supervisor or individual ... field. Requires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist -… more
- Deloitte (Mclean, VA)
- Martech Technical Architect ( Specialist Master) Our Deloitte Customer team empowers organizations to build deeper relationships with customers through innovative ... with offshore/nearshore Delivery Center resources, supporting front-end development oversight, quality assurance and skills development. + Act as marketing platform… more
- Oracle (Richmond, VA)
- …of new AI agent outputs, using statistical methods to drive quality enhancements in automated documentation across diverse healthcare settings. + Collaborate ... + Design and implement assessment frameworks to validate AI output quality , driving continuous improvement in healthcare solutions. + Analyze mappings between… more
- Leidos (Reston, VA)
- …+ Participate in unit, integration, and user acceptance testing to ensure high- quality deliverables. + Work with DevOps teams to manage CI/CD pipelines, source ... control, and deployment processes. + Maintain compliance with enterprise coding standards, HIPAA regulations, and platform governance policies. **Collaboration &… more
- Parexel (Richmond, VA)
- …matters with particular attention to those relating to patient safety + Review coding of adverse events, medical history and concomitant medications for accuracy and ... assessments, SERs, as necessary, for potential signals or issues (product quality ) + Perform review and summarization of literature citations including epidemiology… more
- BCMC (Dulles, VA)
- …policies, procedures, and technical designs aligned with Agile development practices and secure coding standards. * Leading workshops with SOC, IR, and VR teams to ... Administrator (CSA). * ServiceNow Certified Application Developer. * ServiceNow Certified Implementation Specialist - SecOps (SIR, VR, or CC). * ITIL v4 Foundation… more