serp_jobs.error_messages.no_longer_accepting

Healthcare Compliance Auditor

VirtualVocationsNorfolk, Virginia, United States

job_description.job_card.variable_days_ago

serp_jobs.job_preview.job_type

serp_jobs.job_card.full_time

job_description.job_card.job_description

A company is looking for a Healthcare Compliance Auditor - Enterprise Risk.

Key Responsibilities

Assist in reviewing coding, billing, and claims processing policies to develop compliance monitors and audit protocols

Coordinate analysis of claims denial reports and operational assessments to detect billing trends and compliance issues

Develop educational content on documentation and coding to enhance compliance understanding and competency

Required Qualifications

CCS, CPC, RHIT, or RHIA certification required

Two to four years of experience in healthcare operations, auditing, or coding / billing

Knowledge of Medicare, Medicaid, and Insurance Managed Care regulations required

Experience with EPIC Electronic Medical Records System preferred

Demonstrated analytic skills for processing auditing and monitoring reports

serp_jobs.job_alerts.create_a_job

Compliance Auditor • Norfolk, Virginia, United States

Job_description.internal_linking.related_jobs

serp_jobs.job_card.promoted

Premium Audit Consultant III

VirtualVocationsPortsmouth, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a Premium Audit Consultant III (Remote).Key Responsibilities Conduct virtual and occasional on-site audits of policyholders' business records to determine proper risk cla...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

Risk Adjustment Program Advisor

VirtualVocationsPortsmouth, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for an Individual & Family Plans (IFP) Risk Adjustment Program Management Advisor.Key Responsibilities Manage multiple interrelated projects for the IFP Risk Adjustment team,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

AR Follow Up Specialist

VirtualVocationsVirginia Beach, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for an AR Follow Up Specialist to manage aged and unresolved claims with insurance carriers.Key Responsibilities Follow up on unresolved claims and check claim status with in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Healthcare Research Contractor

VirtualVocationsNorfolk, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a Research Contractor focused on APAC Healthcare Research with a Greater China emphasis.Key Responsibilities Monitor and summarize major healthcare policy and reimburseme...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

Senior Healthcare Analytics Advisor

VirtualVocationsChesapeake, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a Senior Healthcare Analytics Advisor.Key Responsibilities Conduct advanced data analysis to support employer and consulting initiatives, identifying key trends and oppor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted
serp_jobs.job_card.new

Texas Licensed Medical Claims Auditor

VirtualVocationsNorfolk, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a Medical Claims Auditor (Remote - Texas).Key Responsibilities Review medical claims and supporting documentation for accuracy and compliance Validate coding accuracy us...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours

serp_jobs.job_card.promoted

Health Underwriter

VirtualVocationsNorfolk, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a Health Underwriter for a 6-month remote contract assignment.Key Responsibilities Enter RFP data into underwriting rating modules for new and renewal groups Review RFP ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

Compliance Training Specialist

VirtualVocationsPortsmouth, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a Compliance Training Specialist.Key Responsibilities Develop, deliver, and assess educational materials and presentations to support compliance and privacy practices Co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

Compliance Underwriter II

VirtualVocationsChesapeake, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a TE Compliance Underwriter II to perform compliance reviews and ensure regulatory requirements are met. Key Responsibilities Review and capture loan data from various mor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

CDI-DRG Validation Auditor

VirtualVocationsChesapeake, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a CDI-DRG Validation Auditor to perform documentation and coding reviews in a remote contract position. Key Responsibilities Review hospital records to validate the accura...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Health Advocate

VirtualVocationsVirginia Beach, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a Health Advocate (VBC).Key Responsibilities Manage multiple technology systems and document interactions accurately Build rapport with members through outbound and inbo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Health Claims Examiner

VirtualVocationsChesapeake, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a Health Claims Examiner I.Key Responsibilities Review medical documents to ensure completeness and validity for claim adjudication Determine covered services and calcul...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Healthcare Revenue Cycle Director

VirtualVocationsNewport News, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for an Associate Director - Physician Revenue Cycle in Healthcare.Key Responsibilities Lead and promote a culture of trust and communication within the team Manage client re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

Claims Quality Auditor

VirtualVocationsVirginia Beach, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a Claims Quality Auditor to perform comprehensive audits of claims and identify incorrect payments. Key Responsibilities Conduct quality audits of claims using various sou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day

serp_jobs.job_card.promoted

Clinical Compliance Manager - RN

VirtualVocationsChesapeake, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a Clinical Compliance Program Manager who will ensure compliance with Utilization Management and Quality Improvement Program regulations. Key Responsibilities : Facilitate ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Certified Healthcare Privacy Director

VirtualVocationsNorfolk, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a Director of Privacy Operations.Key Responsibilities Plan and direct strategic goals for compliance with federal and state privacy requirements Administer daily operati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Clinical Compliance Manager

VirtualVocationsVirginia Beach, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a Manager, Business Standards and Oversight.Key Responsibilities Provide oversight for regulatory and contractually required document management related to Utilization Ma...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Healthcare Business Analyst

VirtualVocationsChesapeake, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a Healthcare Business Analyst II specializing in Claims / Billing with Excel proficiency.Key Responsibilities Conduct detailed claims research and data analysis to uncover ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30

serp_jobs.job_card.promoted

Healthcare Plan Configuration Specialist

VirtualVocationsVirginia Beach, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a Plan Build Coordinator to optimize auto adjudication processes in healthcare systems.Key Responsibilities : Develop, configure, and maintain healthcare plan designs and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days

serp_jobs.job_card.promoted

Healthcare Credentialing Coordinator

VirtualVocationsChesapeake, Virginia, United States

serp_jobs.job_card.full_time

A company is looking for a Healthcare Credentialing Coordinator - Part-Time - Remote.Key Responsibilities Manage the full lifecycle of the credentialing and re-credentialing process for healthcar...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days