• Clinical Specialist I, CPT

    Abbott (Roanoke, VA)
    …patients throughout the pain continuum. **The Opportunity** As a member of the clinical support team, is responsible for providing technical clinical expertise ... current customers and/or potential customers. Works under general direction with clinical and sales teammates to identify and capitalize on sales opportunities… more
    Abbott (06/27/25)
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  • Associate Clinical Account…

    J&J Family of Companies (Virginia Beach, VA)
    …States **Job Description:** We are searching for the best talent for **Associate Clinical Account Specialist ** to be in **Virginia Beach, VA** or surrounding ... journey to wellness. Learn more at https://www.jnj.com/medtech The Associate Clinical Account Specialist (ACAS) position is a...offer work visa sponsorships and we do not accept OPT/ CPT _Johnson & Johnson is an Equal Opportunity Employer.… more
    J&J Family of Companies (07/29/25)
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  • Coding Audit Training Specialist

    Intermountain Health (Richmond, VA)
    …provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for all ... ICD-10 CM/PCS and CPT coding practices, conventions, regulatory, and reimbursement guidelines for...of hospital coding. The coordinator works with providers and clinical staff to make critical coding decisions based on… more
    Intermountain Health (07/29/25)
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  • Inpatient Audit Specialist

    Datavant (Richmond, VA)
    …to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related ... Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT , and appropriate coding references for accurate DRG and APC assignment. +… more
    Datavant (07/29/25)
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  • Medication Therapy Management (MTM)…

    Prime Therapeutics (Richmond, VA)
    …every decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** Evaluates and authorizes approval of prior ... from prescribers received by telephone and/or facsimile using client clinical criteria. **Responsibilities** + Determines appropriateness for medications. Communicates… more
    Prime Therapeutics (06/25/25)
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  • SIU Specialist - Remote in the California…

    Prime Therapeutics (Richmond, VA)
    …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Remote in the California market **Job Description** Responsible for the intake ... related issue and activities to external departments (Cost Containment, Networks, Clinical ) for handling. + PACKAGING OF FINDINGS AND RECOMMENDATIONS: + Organize… more
    Prime Therapeutics (06/24/25)
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  • Coding Quality Specialist 3 - Urology

    University of Virginia (Charlottesville, VA)
    Assigns and reviews the accuracy of the diagnostic codes (ICD-10-CM) and CPT codes for providers' Evaluation and Management Services (E/M), procedures and diagnostic ... assignment. + Reviews documentation in medical record to appropriately assign ICD-10-CM, CPT -4, HCPCS and modifiers within a timely manner to capture all services… more
    University of Virginia (07/18/25)
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  • Coding Quality Specialist 2

    University of Virginia (Charlottesville, VA)
    Assigns and reviews the accuracy of the diagnostic codes (ICD-10-CM) and CPT codes for providers' Evaluation and Management Services (E/M), procedures and diagnostic ... Reviews documentation in medical record to appropriately assign ICD-10-CM, CPT -4, HCPCS and modifiers within a timely manner to...books). + Trains and provides mentorship to Coding Quality Specialist Level 1 staff to effectively perform their job… more
    University of Virginia (07/10/25)
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  • Coder II

    Intermountain Health (Richmond, VA)
    …days not final billed (DNFB), and appropriate reimbursement. Scope 1.Assigns ICD, CPT and HCPCS coding classifications based on clinical documentationand/or ... DRG assignment for inpatient encounters, ICD-10 diagnosis and procedure codes, CPT -4 procedure codes, and APC assignment for outpatient encounters. This is… more
    Intermountain Health (07/26/25)
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  • Coding Auditor Educator

    Highmark Health (Richmond, VA)
    …staff, physicians and appropriate individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses ... appropriate payor specific groups consisting of ICD-CM ICD-PCS and CPT codes for diagnoses and procedures and calculates the...processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and… more
    Highmark Health (05/09/25)
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  • Facility-based Medical Coder Educator

    Banner Health (VA)
    …who support our Facility-based Acute Medical Coding teams. **Experience in ICD-10-CM and CPT coding is a must.** **Requirements:** + **6 years recent experience in ... a knowledge resource for all staff. This may include monitoring and reviewing clinical documentation to ensure that coding is accurate for proper reimbursement and… more
    Banner Health (07/24/25)
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  • Coding Auditor I

    Baylor Scott & White Health (Richmond, VA)
    …give feedback to coders. The Coding Auditor 1 uses ICD-10-CM/PCS, HCPCS, CPT , and other coding references. These references ensure accurate coding and classification ... the coding and abstracting system. + Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for accurate,… more
    Baylor Scott & White Health (07/30/25)
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  • Profee Medical Coder Complex Surgical Pediatric

    Banner Health (VA)
    …patient care. POSITION SUMMARY This position evaluates medical records, provides clinical and surgical abstraction for full range of complex and/or multispecialty ... edits as appropriate. Reconciliation of charges as required. 2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from… more
    Banner Health (07/30/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (VA)
    …care. POSITION SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care team for the health record(s) ... and for quality assurance in the alignment of clinical documentation and billing codes. Works with clinical documentation improvement and quality management… more
    Banner Health (06/15/25)
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  • Sr Analyst, Scope Management

    Evolent (Richmond, VA)
    …financial scope within Evolent Specialty Services. Reporting to the Director, Clinical Informatics, this role is responsible for acquiring, synthesizing, and ... (UM) agreements. This important work is achieved through collaboration across the clinical , operations, product and technical teams. **What You Will Be Doing:** This… more
    Evolent (07/18/25)
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  • Advanced Practice Provider (NP/PA/App) - Medical…

    University of Virginia (Charlottesville, VA)
    …and families process end-of-life issues * Identifying and performing appropriate sub- specialist consultation * Performing and documenting history & physical exams, ... and analyzing clinical data to form well-developed differential diagnoses and care...entity may contract. * Accurately assigns Current Procedural Terminology ( CPT ) and International Classification of Diseases (ICD-10), codes. *… more
    University of Virginia (07/24/25)
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