- Elevance Health (Richmond, VA)
- Medical Coding Education Associate Sr (Hospital / Professional Claims) **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per ... considered for employment, unless an accommodation is granted as required by law._ The ** Medical Coding Education Associate S** r is responsible for the… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied...opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to ... procedural terminology and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex… more
- CenterWell (Richmond, VA)
- …required: RHIA, RHIT, CCS, CRC, or CPC + Minimum 5 years' progressive experience in medical coding operations + Minimum of 3 years' direct experience managing or ... degree preferred. **Knowledge, Skills, and Abilities** + Advanced understanding of medical coding guidelines, healthcare regulations (including HIPAA, state and… more
- Intermountain Health (Richmond, VA)
- … coding denials, appeals, and audits. + Maintains current knowledge of coding updates, changes, and trends through continuing education and professional ... accredited institution. Education is verified. + Demonstrated acute care facility coding experience which includes both ICD-10-CM & PCS coding with… more
- Highmark Health (Richmond, VA)
- …** EDUCATION ** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/ coding , health insurance, healthcare ... using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers… more
- Humana (Richmond, VA)
- … record review knowledge + 2 or more years of risk adjustment provider education + Familiar with coding guidelines (ie ICD-9/ICD-10) + Comprehensive knowledge of ... of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation and creates an … more
- PwC IT Services Co. (Richmond, VA)
- …Applicable **Specialism** IFS - Internal Firm Services - Other **Management Level** Senior Associate **Job Description & Summary** At PwC, our people in software and ... contribute to root cause analysis. Participate in architecture decisions, enforce coding standards, and promote development best practices. Required Skills &… more
- Sedgwick (Richmond, VA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Workers Compensation - Richmond, VA - Hybrid - 2 -3 days in ... and industry best practices. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE:** + Adjusts medical -only claims and minor lost-time workers compensation claims under close… more
- Bon Secours Mercy Health (Petersburg, VA)
- …and operational excellence. **_Please be aware that proof of ICD-10 coding , college-level Anatomy/Physiology coursework, and college-level Medical Terminology ... (EMT-P) **Experience Required:** + One (1) year work experience in registry data abstraction/ coding + Two (2) years experience in medical data abstraction/… more
- SitusAMC (Richmond, VA)
- …equivalent from four-year College or technical school or equivalent combination of education and experience + Experienced professional with 5+ years of industry ... and/or relevant experience, typically with 1+ years in an Associate level role or external equivalent. + 5+ years...work environment. + Understanding of ADO, WLS, and SQL coding a plus + Ability to work in a… more
- Datavant (Richmond, VA)
- …academic medical facility. + Experience with significant level of coding quality review feedback + Experience in computerized encoding and abstracting software ... for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to… more
- Datavant (Richmond, VA)
- …educational needs related to coding quality, compliance assessments, external payer reviews, coding education , interim coding management, and coding ... software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate… more
- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- CenterWell (Richmond, VA)
- …skills and knowledge, contributes to process improvement, delivers in-depth education /training, and provides advanced guidance/mentoring to other Medical ... caring community and help us put health first** The Medical Assistant 4 is the first point of contact...Value Based Care experience including knowledge of HEDIS, CPT/ICD coding , and CAHPS/HOS Patient Experience * Bilingual proficiency in… more
- CenterWell (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Medical Assistant 2 is the first point of contact for patient care. Responsible for ... administrative duties in addition to patient care. The Medical Assistant 2 performs varied activities and moderately complex administrative/operational/customer… more
- Humana (Richmond, VA)
- …The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is ... and interprets medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to conduct a clinical validation… more