• Coding & Reimbursement

    University of Virginia (Charlottesville, VA)
    …codes to obtain accurate DRG or APC assignment for proper reimbursement and data collection. + Assigns all pertinent.ICD-10-CM/PCS diagnosis and.ICD-10-CM/PCS/CPT-4 ... procedure codes based on official inpatient and outpatient coding guidelines. + Abstracts diagnosis and procedure codes as well as other required data elements as… more
    University of Virginia (04/07/25)
    - Save Job - Related Jobs - Block Source
  • Sr Coding & Reimbursement

    University of Virginia (Charlottesville, VA)
    …CPT-4 codes to obtain accurate DRG or APC assignment for proper reimbursement and data collection. + Assigns all pertinent ICD-10-CM/PCS diagnosis and ... ICD-10-CM/PCS/CPT-4 procedure codes based on official inpatient and outpatient coding guidelines. + Abstracts diagnosis and procedure codes as well as other required… more
    University of Virginia (06/10/25)
    - Save Job - Related Jobs - Block Source
  • Impatient Coding Denial Specialist

    HCA Healthcare (Salem, VA)
    …payers, preventing lost reimbursement and promoting denial prevention. The Inpatient Coding Denials Specialist will adhere to all rules and regulations of ... want to join an organization that invests in you as an Impatient Coding Denial Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300… more
    HCA Healthcare (06/21/25)
    - Save Job - Related Jobs - Block Source
  • Coding Audit Training Specialist

    Intermountain Health (Richmond, VA)
    …serves as a subject matter expert for all ICD-10 CM/PCS and CPT coding practices, conventions, regulatory, and reimbursement guidelines for the system. They ... **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training...Participates in hospital quality improvement initiatives to assure accurate reimbursement + Participates in integrated testing of Epic, Solventum,… more
    Intermountain Health (06/24/25)
    - Save Job - Related Jobs - Block Source
  • Facility Coding Inpatient DRG Quality

    Banner Health (VA)
    …current and progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified ... an audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and...Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Specialist -Physician (CCS-P) or Registered Health Information… more
    Banner Health (06/15/25)
    - Save Job - Related Jobs - Block Source
  • Coding Auditor I

    Baylor Scott & White Health (Richmond, VA)
    …Health Information Administrator (RHIA) Registered Health Information Technologist (RHIT) Certified Coding Specialist (CCS) Certified Coding Specialist ... plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits...5 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - & Cert Coding Specialist (CCS), Cert Coding more
    Baylor Scott & White Health (06/07/25)
    - Save Job - Related Jobs - Block Source
  • DRG Coding Auditor Principal

    Elevance Health (Norfolk, VA)
    …RHIT certification as a Registered Health Information Technician, CCS as a Certified Coding Specialist , CIC as a Certified Inpatient Coder, or Certified Clinical ... Documentation Specialist (CCDS). + Requires minimum of 10 years experience...of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding more
    Elevance Health (06/05/25)
    - Save Job - Related Jobs - Block Source
  • Manager, Enterprise PB Coding - Coder…

    University of Virginia (Charlottesville, VA)
    …Coder (CPC, CCS-P), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Coding Specialist ... with industry guidelines and regulations, ultimately leading to improved reimbursement and patient care. + Manage the Coding... reimbursement and patient care. + Manage the Coding team including but not limited to: hiring, training,… more
    University of Virginia (05/31/25)
    - Save Job - Related Jobs - Block Source
  • Coding Auditor Educator

    Highmark Health (Richmond, VA)
    …(Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified ... and data management + Past auditing and strong education/training background in coding and reimbursement **_Disclaimer:_** _The job description has been designed… more
    Highmark Health (05/09/25)
    - Save Job - Related Jobs - Block Source
  • DRG Coding Auditor

    Elevance Health (Richmond, VA)
    …certification as a Registered Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. + Requires ... knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology… more
    Elevance Health (06/24/25)
    - Save Job - Related Jobs - Block Source
  • Facility Coding Outpatient Complex Coder

    Banner Health (VA)
    …operations, or an Associate's degree in a health care field. Requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified ... and procedural information, including modifiers, in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with… more
    Banner Health (05/31/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Documentation Specialist

    LifePoint Health (Martinsville, VA)
    …- mental, physical, and financial wellness assistance . Tuition Reimbursement /Assistance for qualified applicants . Professional development, Growth opportunities, ... coders and other health care team members, the Clinical Documentation Specialist , will strive to ensure comprehensive medical record documentation that reflects… more
    LifePoint Health (06/23/25)
    - Save Job - Related Jobs - Block Source
  • Accounts Receivable Specialist (remote)

    Cognizant (Richmond, VA)
    **Accounts Receivable Specialist (remote)** This is a remote position open to any qualified applicant in the United States. The successful candidate performs ... payer denials, experience in identifying procedures impacted by National Correct Coding Initiative Edits (NCCI), technical payer policies, appeal documentation and… more
    Cognizant (06/25/25)
    - Save Job - Related Jobs - Block Source
  • Revenue Recovery Specialist

    Childrens Hospital of The King's Daughters (Norfolk, VA)
    + GENERAL SUMMARY + The Revenue Recovery Specialist provides analytical and operational support of the revenue recovery process. This position works to identify, ... refund payment variances to and from appropriate payers. The Revenue Recovery Specialist is responsible for maintaining the integrity of the contract management… more
    Childrens Hospital of The King's Daughters (05/10/25)
    - Save Job - Related Jobs - Block Source
  • Medication Therapy Management (MTM)…

    Prime Therapeutics (Richmond, VA)
    …health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.). + ... every decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** Evaluates and authorizes approval of prior… more
    Prime Therapeutics (06/25/25)
    - Save Job - Related Jobs - Block Source
  • CBO Insurance Resolution Specialist

    University of Virginia (Charlottesville, VA)
    The Central Billing Office (CBO) Insurance Resolution Specialist handles and resolves all Insurance billing follow up and denial issues to ensure all facilities ... payer websites as well as the knowledge of medical billing and coding guidelines to resolve insurance denials and guarantor/patient inquiries. The representative… more
    University of Virginia (05/15/25)
    - Save Job - Related Jobs - Block Source
  • Sales Specialist , Diagnostic Oncology…

    Fujifilm (Richmond, VA)
    …and selling skills. + Liaise with office and laboratory staff to provide reimbursement support and test coding . + Development of business plans aligned ... **Position Overview** The Sales Specialist , Diagnostic Oncology, in the Invitro Diagnostics Division, is responsible for identifying, prioritizing, and establishing… more
    Fujifilm (05/15/25)
    - Save Job - Related Jobs - Block Source
  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Richmond, VA)
    …medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. For candidates working ... an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit… more
    Elevance Health (06/10/25)
    - Save Job - Related Jobs - Block Source