Invasive Coding Analyst - Ortho Carilion Medical CenterInvasive Coding Analyst - OrthoRoanoke, VirginiaMay require a strong working knowledge of multiple payers knowing payer specific policies and procedures in order to serve as subject matter expert. The Invasive Coding Analyst identifies and analyzes denials, determines solutions and implements corrections to result in accurate processing/payment of claims.
Supervisor, Health Information Management Ensemble Health PartnersSupervisor, Health Information ManagementVA$52,100–$78,150 / yearThis role ensures the accuracy and completion of electronic patient records, monitors productivity and quality metrics, and serves as the primary HIM representative at the client site. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.
Clinical Content & Editing Reimbursement Manager Elevance Health IncClinical Content & Editing Reimbursement ManagerRoanoke, VA$80,940–$140,580 / yearPreferred Skills, Capabilities, & Experiences: 5+ years of claims editing, payment integrity, provider reimbursement, clinical content development, or healthcare payer experience with health plans and/or claims editing software vendors, including expertise in billing, coding, revenue cycle, and claims adjudication preferred. This role partners with cross-functional teams to translate healthcare coding and reimbursement policies into clinical editing content and reimbursement solutions that improve financial performance, reduce administrative expenses, and enhance claims payment integrity across Commercial, Medicare, and Medicaid lines of business.