- 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 of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System… more
- HCA Healthcare (Richmond, VA)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking an Inpatient Coding Auditor for our team to ensure that we continue to provide ... want you to apply! **Job Summary and Qualifications** As an Inpatient Coding Auditor , you will be responsible for performing internal quality assessment reviews… more
- Elevance Health (Richmond, VA)
- **DRG CODING AUDITOR ** **Location** : _This position will work virtually._ _Alternate locations may be considered._ The **DRG CODING AUDITOR ** is ... clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding … more
- Elevance Health (Norfolk, VA)
- **DRG Coding Auditor Principal** _Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach ... and skill development. Alternate locations may be considered._ The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims… more
- Highmark Health (Richmond, VA)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
- Cognizant (Richmond, VA)
- …**Experience:** Minimum 5 years of related experience (facility-based auditing and coding experience). **Travel:** None required **About the role:** As an ICD-10 ... the accuracy, compliance, and quality of ICD-10-CM and ICD-10-PCS coding for inpatient records. You will be a valued...and team. **In this role, you will:** - **Ensure Coding Accuracy and Compliance** . Conduct thorough reviews of… more
- Humana (Richmond, VA)
- …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement,… more
- HCA Healthcare (Falls Church, VA)
- …of our team. **Job Summary and Qualifications** As a work from home Inpatient Coding Auditor , you will be responsible for performing internal quality assessment ... join an organization that invests in you as a Coding Quality Audit Reviewer? At Parallon, you come first....Day Shift** **Must have DRG Validation experience and Inpatient Coding experience** **Benefits** Parallon, offers a total rewards package… more
- Elevance Health (Richmond, VA)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure… more
- Elevance Health (Norfolk, VA)
- **Clinical Provider Auditor II** **Virtual** : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... eliminate and prevent unnecessary medical-expense spending. The **CLINICAL PROVIDER AUDITOR II** is responsible for identifying issues and/or entities that may… more
- Elevance Health (Norfolk, VA)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work virtually ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Elevance Health (Richmond, VA)
- **Provider Auditor ** _This position will work a hybrid model (remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our ... to recover, eliminate and prevent unnecessary medical-expense spending. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized… more
- Elevance Health (Roanoke, VA)
- **Provider Auditor ** **Location** : Virginia **Field:** This field-based role enables associates to primarily operate in the field, traveling to client sites or ... responsiveness to client needs, and direct, hands-on engagement. The **Provider Auditor ** conducts on-site reviews of medical charts, medical notes, itemized bills… 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 ... special focus audits and reports findings. + Serves as a clinical resource for coding / denial management and customer service issues. + Participates as a member of… more
- Capital One (Mclean, VA)
- …information, issues and audit progress to teammates, clients and auditor -in-charge.** **-Perform various aspects of engagement administration, including hours and ... 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… 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 ... to identify trends, patterns, and anomalies, including experience in test scripting, coding (writing, reviewing, or assessing) or a combination** + **At least 4… 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
- TAD PGS, Inc. (Richmond, VA)
- …a timely fashion . Distribute invoice to Mediusflow AP Automation software for coding and approval. + Business Partner Collaboration to process invoices for the ... by transaction type. Reconcile invoice and batch totals. Sign batch and deliver to the auditor + Perform mail opening and sorting duties. + Open mail and date stamp.… more
- Elevance Health (Norfolk, VA)
- …duties may include, but are not limited to: + Assists higher level auditor /lead on field work as assigned, including performing special audits and targeted audits ... and post implementation audits of providers, claims processing and payment, benefit coding , member and provider inquiries, enrollment & billing transactions and the… more