• Medicaid Provider Hospital

    Humana (Richmond, VA)
    …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Qualifications** + Experience with Ohio Medicaid hospital reimbursement methodologies + Experience researching and resolving provider reimbursement more
    Humana (04/30/25)
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  • Regional Vice President (RVP) Provider

    Elevance Health (Richmond, VA)
    …member of the Elevance Health family of companies offering Medicare plans, Medicaid , individual and family plans, and group insurance plans in Colorado, Connecticut, ... enough to fit any size business. **Regional Vice President (RVP) Provider Solutions II** **Location** Virginia (Richmond, Norfolk or Roanoke) **Summary** The… more
    Elevance Health (05/03/25)
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  • Provider Contracting Executive

    Humana (Richmond, VA)
    …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… more
    Humana (05/07/25)
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  • Advanced Practice Provider (NP/PA/APP)-…

    University of Virginia (Charlottesville, VA)
    …is seeking a PA or NP to join its Inpatient Endocrinology advanced practice provider (APP) team. The APP hired for this position will join a collaborative team ... diagnostic tests and laboratory results relevant to endocrine disorders. o Provide patient education on disease management, treatment plans, and lifestyle… more
    University of Virginia (04/19/25)
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  • Director Enterprise Hospital Coding

    University of Virginia (Charlottesville, VA)
    …Cycle division, working closely with the financial and clinical operations to provide strategic direction in support of operational performance and key financial ... of professional coding and health data collection activities to ensure accurate provider documentation and coding as it relates to appropriate, compliant, and… more
    University of Virginia (04/03/25)
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  • Clinical Reimbursement Coordinator, RN

    Genesis Healthcare (Bluefield, VA)
    …standards of care. *Manage the overall process and tracking of all Medicare/ Medicaid case-mix documents to assure appropriate reimbursement for services provided ... through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative,… more
    Genesis Healthcare (04/28/25)
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  • Mental Health Site Supervisor NON-EXE

    Childrens Hospital of The King's Daughters (Norfolk, VA)
    …Ensures comprehensive assessment and recommended treatment plan is submitted for reimbursement to third party insurance payer sources based on established ... Health Service Line. + Conducts chart audits in accordance with DMAS and Medicaid regulations, when needed. + Generates program systems and processes to improve… more
    Childrens Hospital of The King's Daughters (04/04/25)
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  • Senior Vice President, Finance

    Somatus (Mclean, VA)
    …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... Paid Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
    Somatus (03/19/25)
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  • R215261 Registration Spec - Wound Care Clinic…

    Bon Secours Mercy Health (Midlothian, VA)
    …to and promotes departmental plans, goals, and objectives in accordance with hospital policies and procedures, regulatory and Joint Commission for Accreditation of ... Hospital Operations. * Assists in collaboration with the Physicians and Clinical Staff to provide appropriate wound service coverage in the center. * Assists… more
    Bon Secours Mercy Health (04/28/25)
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  • Outpatient Coding Team Lead

    HCA Healthcare (Richmond, VA)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our...staff, and shared service center departments. You will also provide support to coding leadership by coordinating coding and… more
    HCA Healthcare (03/07/25)
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  • ACT Nurse Coordinator (RN) Supervisor

    City of Norfolk, Virginia (Norfolk, VA)
    …(OIG) or any other federal healthcare program including, but not limited to Medicare or Medicaid ? + Yes + No 17 Please provide an explanation of any periods ... The Norfolk Community Services Board (NCSB) is the primary provider of public mental health, substance abuse, and intellectual...work and treatment environment. Please join us as we provide hope and recovery opportunities for the persons we… more
    City of Norfolk, Virginia (05/09/25)
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  • Treasury Accountant

    Chesapeake Regional Healthcare (Chesapeake, VA)
    …treasury functions and reporting. Essential Duties and Responsibilities + Chesapeake Hospital Authority Bank Reconciliation + Reconcile Chesapeake Hospital ... the following areas: + Electronic deposits + Medicare + Medicaid + Blue Cross + Cashiers deposits + Lockbox...for posting to the General Ledger + Reconcile Chesapeake Hospital Authority's patient refund account + Subsidiary Bank Reconciliations:… more
    Chesapeake Regional Healthcare (05/03/25)
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  • Inpatient DRG Quality Auditor

    Humana (Richmond, VA)
    …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
    Humana (05/03/25)
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  • Senior Manager, Quality

    Somatus (Mclean, VA)
    …country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious ... Paid Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
    Somatus (04/23/25)
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  • Revenue Integrity Clinical Team Lead

    HCA Healthcare (Richmond, VA)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... RI workflow tools for timely resolution resulting in appropriate reimbursement and data integrity. **What you will do in...degree required. + Healthcare experience in an acute care hospital or coding experience preferred. + Knowledge of CPT/HCPCS… more
    HCA Healthcare (05/07/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Richmond, VA)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... for our team to ensure that we continue to provide all patients with high quality, efficient care. Did...complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are… more
    HCA Healthcare (04/17/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Richmond, VA)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the… more
    HCA Healthcare (04/23/25)
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