Codes inpatient accounts applying appropriate ICD 10 CM/ICD 10 PCS/CPT 4 codes for hospital reimbursement, mortality & morbidity outcomes, research & statistical and regulatory compliance. Abstracts, codes and assigns necessary demographic and clinical data elements required for inpatient records. Effectively utilizes encoder software to assure appropriate reimbursement a

Account and prepare all documents for precision scanning into the electronic medical record with strict attention to maintain patient confidentiality guidelines for safeguarding patient medical information. Required to work within many different computer environments to track, scan, identify, validate and access medical records. Responsible to maintain data and statistics

The Patient Access Rep is responsible for all aspects of the patient registration process, including verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, IDs, Living Wills, and POAs and verifying and enteri

The Appeals Coordinator is responsible for the investigation and documentation of member appeals and grievances in compliance with State law, applicable rules and regulations and provider and group agreements. Works closely with the Plan's Medical Directors who are responsible for all decision regarding clinical appeals/ grievances and the Appeals Manager who is responsib

Review and ensure all required documentation is present within the medical record. While also paying attention to all details and ensuring that that patient confidentiality guidelines are adhered to, to safeguard patient medical information. Required to work within many different computer environments. Qualifications HS High School Grad or Equivalent (Required) Medical Re

The Healthcare Data Analyst provides data analysis support to the customer by assisting with the development of reports and/or dashboards to monitor program and operational performance. Promotes self service analytics for customer adoption, understanding and use of data. Supports design of programmatic analyses and reporting capabilities in addition to business requiremen

The Physician Advisor conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers, writing appeal letters) in support of the centralized system Utilization Review (UR) process for Sentara hospital facilities. The Physician Advisor serves an important role in ensuring compliant hospital status/billi

This role consists of auditing & educating PACE providers and staff on appropriate HCC coding & documentation. Duties include prospective and concurrent auditing to ensure compliance with appropriate HCC coding & documentation and submission guidelines . Candidate should be geographically located within Hampton Roads. Candidate should be comfortable with Microsoft Office,

Account and prepare all documents for precision scanning into the electronic medical record with strict attention to maintain patient confidentiality guidelines for safeguarding patient medical information. Required to work within many different computer environments to track, scan, identify, validate and access medical records. Responsible to maintain data and statistics

The Patient Access Rep is responsible for all aspects of the patient registration process, including verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, ID's, Living Wills, and POAs and verifying and enter

Position allows for temporary employment as part of educational development opportunity. Under the close direction of permanently employed leaders of the division, Intern assumes responsibility for operational projects and supporting the leadership initiatives for a defined period of time. Assist in completion of various projects and administrative duties while developing

The Patient Access Rep is responsible for all aspects of the patient registration process, including verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, ID's, Living Wills, and POAs and verifying and enter

This role consists of educating primary & specialty care providers and staff on appropriate HCC coding & documentation, via virtual sessions and in person site visits. Duties include retrospective auditing to ensure compliance with appropriate HCC coding & documentation guidelines . Candidate should be geographically located within the Charlottesville area to be able to v