- Sevita (Richmond, VA)
- …new opportunities for the people we serve and for our employees. **Summary** The Clinical Compliance Auditor is responsible for collaborating with Operations ... and Revenue Cycle in auditing/monitoring compliance requirements across all Company business units and service...Company business units and service lines. Ensures that existing clinical audit standards and procedures are best practice according… more
- Elevance Health (Richmond, VA)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues… more
- Somatus (Mclean, VA)
- …and mental well-being + Community engagement opportunities + And more! The Quality Auditor effectively and efficiently manages a diverse workload in a fast- paced, ... rapidly growing environment. The Quality Auditor provides support to the local market teams but...improvement team in the development of reporting to prioritize clinical and service improvement initiatives and address identified barriers.… more
- Veterans Affairs, Veterans Health Administration (Roanoke, VA)
- …providing internal, independent, and objective assurance for management operations and clinical services. This announcement has been extended and is scheduled to ... not limited to: Following Generally Accepted Government Auditing Standards (GAGAS), the auditor participates in the research and survey phases of the audit/assist by… more
- Elevance Health (Richmond, VA)
- Nurse Auditor Senior - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a ... to recover, eliminate, and prevent unnecessary medical-expense spending. The Nurse Auditor Senior is responsible for identifying, monitoring, and analyzing aberrant… more
- Baylor Scott & White Health (Richmond, VA)
- …**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance with standards of ethical ... coding HCC issues and keeps abreast of coding and compliance changes as communicated by CMS, HHS, AHA, AMA...knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the… more
- Insight Global (Charlottesville, VA)
- …coding and billing practices according to federal, state and local regulatory compliance standards. Creates and delivers presentations to clinical faculty and ... health professionals, residents, and coding and billing staff to support compliance with third party documentation and billing regulatory standards, including but… more
- University of Virginia (Charlottesville, VA)
- The Supervisor Clinical Documentation Improvement (CDI) provides day-to-day oversight of the CDI program and serves as a resource for the CDI team. Oversees ... compliance with Centers for Medicare & Medicaid Services' (CMS)...coding and documentation guidelines. + Provide daily oversight of Clinical Documentation Improvement Program and Team Members. + Oversees… more
- Cardinal Health (Richmond, VA)
- …data solutions for health care facilities. We are a crucial link between the clinical and operational sides of care, working with more than 4,500 sourcing and ... will play a Lead role focused on identifying key IT controls and compliance requirements and confirming that controls are being designed and implemented as solutions… more
- Catalent Pharma Solutions (Manassas, VA)
- …is committed to a Patient First culture through excellence in quality and compliance , and to the safety of every patient, consumer and Catalent employee. **This ... Delivery (OSD) business unit. On site we have our state-of-the-art laboratory, clinical , and commercial manufacturing plant for oral dose forms in addition to… more
- The Arora Group (Hampton, VA)
- …+ Have practical knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and ... times, and completion. May educate and provide feedback to providers and other clinical staff to resolve documentation issues to support coding compliance .… more
- The Arora Group (Hampton, VA)
- …+ Have advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and ... times, and completion. May educate and provide feedback to providers and other clinical staff to resolve documentation issues to support coding compliance .… more