- Humana (Richmond, VA)
- …materials. This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from ... The Coding Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper… more
- HCA Healthcare (Richmond, VA)
- …coding guidelines and policy + Demonstrates and applies expert level knowledge of medical coding practices and concepts + Participates on special reviews or ... join an organization that invests in you as a Coding Quality Inpatient MS-DRG Auditor ? At Work...Company policy + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/ medical… 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
- Highmark Health (Richmond, VA)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- Insight Global (Charlottesville, VA)
- … coding presentations for physicians -Experience with Auditing -Experience with academic medical center coding -Neurosurgery exp null We are a company ... Job Description Insight global is seeking a remote Professional Coding Educator for a healthcare system in Virginia. The educator will provide consulting services to… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …of experience as an intensive care unit, emergency department or documentation specialist nurse auditor or an LPN with a combined coding and auditing background. ... Summary With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/ CDM Analyst is responsible for performing audits of… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Job Summary With direction from the Director, the Nurse Auditor /Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient ... medical record and other applicable hospital documentation, assigning modifiers...staff of appropriate HCPCS codes and modifiers. The Nurse Auditor / Revenue Integrity Specialist works directly with revenue producing… more
- Elevance Health (Norfolk, 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 (Mclean, VA)
- Principal Auditor - Cyber, Risk & Analysis Technology Audit (Hybrid) Capital One's Audit function is a dedicated group of professionals focused on delivering ... information, issues and audit progress to teammates, clients and auditor -in-charge. -Perform various aspects of engagement administration, including hours and… more
- Baylor Scott & White Health (Richmond, VA)
- …tracks results and identifies trends and deficiencies for follow-up + Researches complex coding HCC issues and keeps abreast of coding and compliance changes ... knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the...**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and… more
- Elevance Health (Norfolk, 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 a AA/AS and minimum of 4 years medical coding /auditing experience, including minimum of 1… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- + GENERAL SUMMARY + The Revenue Integrity Nurse Auditor is responsible for the auditing and compliance functions necessary to effect accurate and complete ... regulations and trends in denials of services due to medical necessity or appropriateness of services. + Conducts compliance,...reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. +… more
- The Arora Group (Hampton, VA)
- …or higher in Health Information Management; OR a certificate from an university in medical coding ; OR at least 30 hours of university/college credit that ... anatomy/physiology, health information management concepts, and pharmacology. + Five years of medical coding and/or auditing experience in at least two or… more
- The Arora Group (Hampton, VA)
- …or higher in Health Information Management; OR a certificate from an university in medical coding ; OR at least 30 hours of university/college credit that ... anatomy/physiology, health information management concepts, and pharmacology. + Four years of medical coding and/or auditing experience in at least two or… more
- The Arora Group (Hampton, VA)
- …or higher in Health Information Management; OR a certificate from an university in medical coding ; OR at least 30 hours of university/college credit that ... anatomy/physiology, health information management concepts, and pharmacology. + Three years of medical coding and/or auditing experience in at least two or… more
- Capital One (Richmond, VA)
- …understanding of data, innovation, and technology will only make you a better auditor . This will require leveraging the power of data analytics and furthering your ... including 1 year of experience in test scripting or testing coding (writing, reviewing, or assessing) **Preferred Qualifications:** + Certifications related to… 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
- Capital One (Mclean, VA)
- …understanding of data, innovation, and technology will only make you a better auditor . This will require leveraging the power of data analytics and furthering your ... patterns, and anomalies, including experience in testing scripting or coding (writing, reviewing, or assessing) **Preferred Qualifications:** + Certified Internal… more