• Coding Quality Audit

    HCA Healthcare (Richmond, VA)
    **Description** **Introduction** Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Work from Home, you come ... of our team. **Job Summary and Qualifications** As a Coding Quality Audit Reviewer...result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to… more
    HCA Healthcare (04/23/25)
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  • DRG Coding Auditor

    Elevance Health (Norfolk, VA)
    …based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims ... medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review...information to make audit determinations and generate audit findings letters. + Maintains accuracy and quality more
    Elevance Health (05/08/25)
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  • Facility Coding Inpatient CQA Acute

    Banner Health (VA)
    …RHIT or RHIA Coding Certification, and make a difference!** **This is a Quality position, not a day-to-day coding production role but does require coding ... Coding experience.** This position is task-production-oriented ensuring quality in the Inpatient Facility Coding department....audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that … more
    Banner Health (04/13/25)
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  • Audit Manager- Cyber, Risk & Analysis…

    Capital One (Richmond, VA)
    Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... to management via written reports and oral presentations. + Review and provide feedback on audit workpapers...multiple priorities and tasks across the team to deliver quality results. + Coordinate with others and proactively take… more
    Capital One (03/04/25)
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  • Principal Auditor- Cyber, Risk & Analysis…

    Capital One (Mclean, VA)
    Audit function is a dedicated group of professionals focused on delivering top- quality assurance services to the organization's Audit Committee. Audit ... a collaborative, agile environment to deliver value-added opinions and recommendations. Audit 's vision to provide high value, independent, proactive insights, to… more
    Capital One (04/18/25)
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  • Revenue Integrity Specialist

    Chesapeake Regional Healthcare (Chesapeake, VA)
    …manner. Perform random quality audits as schedule permits. + Work and review a high volume of accounts assigned to Revenue Integrity Specialist work queues for ... documentation to charge code injection and infusion charges, and review of various charge audit . + Ensure...Review and Analysis, and outside consultants to analyze, review and assess identified billing, coding , charging… more
    Chesapeake Regional Healthcare (04/25/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Norfolk, VA)
    …letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by recognizing ... the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How...clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding more
    Elevance Health (04/29/25)
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  • Risk Adjustment Trainer

    Datavant (Richmond, VA)
    …participant materials + Provide support to client relations for trainings needed for client audit findings + Research and analysis of coding error trends What ... Adjustment Trainer to help us uplevel our Risk Adjustment Coding Department through improving overall coding accuracy...learning to the work environment through various methods + Review client level audits and advise training content to… more
    Datavant (05/07/25)
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  • Nurse Auditor/Rev Intgty Spec

    Chesapeake Regional Healthcare (Chesapeake, VA)
    …resource for all hospital departments with charging questions and issues . Routinely review inpatient and outpatient records for appropriate coding and charging ... revenue producing departments regarding lost charges, billing questions, and proper coding and charging. Essential Duties and Responsibilities These duties and… more
    Chesapeake Regional Healthcare (04/05/25)
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  • Senior Software Engineer - Overnight (Remote…

    CareFirst (Reston, VA)
    audit requests for Data Center Operations. + Follow IT Operations guidelines for audit reply review and approval. + Provide technical assistance to all ... weekends and holidays. **ESSENTIAL FUNCTIONS:** + Perform technical detail design, coding , testing of applications. Serves as subject matter expert for both… more
    CareFirst (05/03/25)
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  • Virginia - Land Analyst - Southeast VA area

    DR Horton, Inc. (Suffolk, VA)
    …Profit Analyses and review gross profit margins for each sales contract * Review SG&A expenses and provide coding . Assist in SG&A forecast preparation * ... York Stock Exchange. It is engaged in the construction and sale of high quality homes designed principally for the entry-level and first time move-up markets. The… more
    DR Horton, Inc. (05/02/25)
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  • Information Security Analyst II

    Epsilon, Inc (Falls Church, VA)
    …with industry regulations. + Work with DevOps teams to implement secure coding practices and foster secure CI/CD development pipelines. + Support the evaluation ... + Document all security-related activities and maintain detailed records for audit and compliance purposes. + Enhance Threat Intelligence Capabilities - Research… more
    Epsilon, Inc (04/30/25)
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