- Evolent (Richmond, VA)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Clinical Rules Management , Analyst ** Seeking a detail-oriented ** ... Clinical Rules Management , Analyst ** who will play a critical role in ensuring the accuracy and integrity of our clinical rule engine, impacting our … more
- Intermountain Health (Richmond, VA)
- **Job Description:** The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... ensure regulatory compliance and revenue optimization for assigned service line(s). **Revenue Integrity Analyst I** Schedule: Monday - Friday from 8 AM - 5 PM (with… more
- Highmark Health (Richmond, VA)
- …investigations. Performs modeling of data sources and flows, works with data management staff to define an operational framework that will define, develop and ... new areas. + Perform modeling of data sources and flows, work with data management staff to define an operational framework that will define, develop, and implement… more
- Deloitte (Rosslyn, VA)
- …work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and collaborate on ... the same as per engagement requirements + Perform Problem Management activities such as Root cause analysis of Incidents...working with Microsoft Officetools + Work Experience/Direct Knowledge of clinical area or business area to be supported +… more
- Deloitte (Arlington, VA)
- …modernized EHR System + Facilitate successful EHR design and build efforts for clinical and/or business domain groups + Cerner Implementation and PMO Support + ... Collaborate on Clinical Workflow Analysis Deloitte's Government and Public Services (GPS)... Workflow Analysis + Strong understanding of Health Information Management Information for applicants with a need for accommodation:… more
- Intermountain Health (Richmond, VA)
- …site teams, external business partners/vendors, compliance, legal counsel, health information management , and designated areas in the response process. 5. Assists ... and guidance to service line leadership, providers, and front line clinical associates regarding updates to charging/coding/NCCI regulations and/or errors, and… more
- Cardinal Health (Richmond, VA)
- … team to onboard new practices including Assessment Call and giving direction to Clinical Analyst owning account * Once the Rheum team grows, manage the ... training and oversite of all new Clinical Analyst Team members (working with HR,...Specialty Network requirements of the Provider Solutions, Customer Success, management , and HR Handbook rules * Assist… more
- CenterWell (Richmond, VA)
- …Senior Strategy Advancement Professional will bring a combination of operational support, analyst skills, and strategy oversight to the role. This individual will ... Medicare, population health, Accountable Care Organizations (ACOs), medical group management / practice management , health plans /...necessary / required actions initiated by CMS * Oversee rules and regulations of ACO programs as outlined in… more
- Banner Health (VA)
- …on location, education, & experience. In accordance with State Pay Transparency Rules . Innovation and highly trained staff. Banner Health recently earned Great Place ... edits as appropriate. Reconciliation of charges as required. 2. Abstracts clinical diagnoses, procedure codes and other pertinent information obtained from the… more
- Intermountain Health (Richmond, VA)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and ... clinical staff. This Coordinator serves as a subject matter...service lines **Preferred** + Bachelor's degree in health information management (RHIT), health informatics, or related field from an… more