- CVS Health (Richmond, VA)
- …strategic initiatives, along with a team of medical coders/nurses supporting Aetna's Special Investigations Unit. Key Responsibilities: + Leadership: Leads a ... team of coding /nursing professionals who conduct reviews of medical records and...coder/nurse reviews, ensuring compliance with ICD-10, CPT and HCPCS coding guidelines. Assist with department build and implementation of… more
- Elevance Health (Norfolk, VA)
- …payment. + Researches new healthcare related questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other ... **Clinical Fraud Investigator Senior ** **Location:** _Hybrid1:_ This role requires associates be...clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims… more
- Fairfax County Sheriff's Office (Fairfax, VA)
- …Duties include: + Assistance to the Assistant Division Directors (Management M-2), Senior Section Managers and Section Managers (Engineer V), and Project Managers ... or approaches to problems; Ability to process information by compiling, coding , categorizing, calculating, tabulating or verifying information and data accurately to… more