Top 444 Audit Jobs in Virginia Beach, Va

IDR Coder Reviewer
Commence —Virginia Beach, VA
- $45 - $70 an hour
- Part-time
- Remote
- Writing skills
- HIPAA
- Research
8d
IT Assessor Jr.-Secret Clearance (REMOTE)
Steel Point Solutions L —Virginia Beach, VA
- Remote
- Bachelor's degree
- Entry level
- Commercial
Quick Apply
LMHP Supervisor to QMHPs
East Coast Family Services, LLC —Norfolk, VA
- $30 - $40 an hour
- Contract
- Hybrid work
- Background check
- Experience working with individuals with developmental disabilities
- HIPAA
Quick Apply
Mental Health Clinical Director
Milestone Treatment Center —Virginia Beach, VA
- $85,000 - $100,000 a year
- Full-time
- Addiction Medicine
- Writing skills
- Licensed Clinical Social Worker
- Health insurance
- Dental insurance
Quick Apply
11d
Accounts Payable Specialist (Minimum of 4 years of experience)
Divaris Property Management, Corp. —Virginia Beach, VA
- $24 - $25 an hour
- Full-time
- Background check
- Microsoft Excel
- Customer service
- Health savings account
- AD&D insurance
Quick Apply
10d
Pediatric Hospice Registered Nurse - Team Lead
Edmarc Inc. —Portsmouth, VA
- $90,000 - $100,000 a year
- Weekends as needed
- Background check
- Nursing
- RN License
- Continuing education credits
- Mileage reimbursement
Quick Apply
16h
Housing Stabilization Specialist
Judeo Christian Outreach Center —Virginia Beach, VA
- $43,000 - $48,000 a year
- Weekends as needed
- Background check
- Pass drug screening
- HIPAA
- Disability insurance
- Health insurance
Quick Apply
Accounts Receivable Specialist in Collections
The Select Group, Inc —Virginia Beach, VA
- From $41,500 a year
- Full-time
- Data analysis skills
- Mid-level
- Residential
- Health insurance
- Dental insurance
Quick Apply
Transportation Manager
GardaWorld Cash —Hampton, VA
- $65,000 - $80,000 a year
- Full-time
- Microsoft Excel
- Microsoft Access
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
11d
Environmental Compliance Manager
The Davey Tree Expert Company —Virginia Beach, VA
- Weekends as needed
- 5 years
- Bachelor's degree
- Travel
- Paid holidays
- Health insurance
Quick Apply
14d
Audit Senior Associate
Stewart & Company, CPA's —Virginia Beach, VA
- $70,000 - $115,000 a year
- Full-time
- CPA
- Mid-level
- Supervising experience
- Profit sharing
- Paid parental leave
Quick Apply
Senior Cyber Security & GRC Engineer
Emergent Staffing —Virginia Beach, VA
- $150,000 - $170,000 a year
- Full-time
- Computer science
- 7 years
- Computer Science
Quick Apply
3d
Accounting Specialist
Confidential —Virginia Beach, VA
- $22 - $28 an hour
- Full-time
- Research
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
3d
Operations Manager AGI
James River Grounds Management —Portsmouth, VA
- Full-time
- Microsoft Word
- Background check
- Clean driving record
- Health insurance
- Dental insurance
Quick Apply
Regional Director of Clinical Reimbursement (MDS)
MFA Consulting —Chesapeake, VA
- $100,000 - $125,000 a year
- Full-time
- Nursing
- Microsoft Excel
- Skilled nursing facility
- Health insurance
- Dental insurance
Quick Apply
11d
Accounts Specialist
Children's Harbor —Norfolk, VA
- $42,000 - $63,000 a year
- Full-time
- Customer service
- Mid-level
- Office
Quick Apply
3d
Senior Supplier Quality Engineer
Busch Vacuum Solutions —Virginia Beach, VA
- $91,100 - $101,300 a year
- Urgently hiring
- Microsoft Outlook
- ERP systems
- Pass drug screening
- Paid training
- Health insurance
Quick Apply
Director of Accounting - Healthcare
SimiTree Talent Solutions —Virginia Beach, VA
- $135,000 - $150,000 a year
- Office
- Bachelor's degree
- Home Health
- Health insurance
- Dental insurance
Quick Apply
Quality Engineer
Busch Vacuum Solutions —Chesapeake, VA
- $87,500 - $109,900 a year
- Day shift
- 5 years
- Engineering
- Pass drug screening
- Paid training
- Health insurance
Quick Apply
FBI Special Agent: CPA/Accounting/Finance Expertise
Federal Bureau of Investigation —Norfolk, VA
- $103,263 - $133,200 a year
- Full-time
- Doctoral degree
- CPA
- Master's degree
11d

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IDR Coder Reviewer

Commence
Virginia Beach, VA

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Job Details

Part-time
$45 - $70 an hour
8 days ago

Qualifications

Customer communication
Regulatory compliance evaluation
Audit report preparation
Writing skills
HIPAA
Healthcare documentation compliance audits
State healthcare regulations
Medical coding experience in outpatient clinics
Audit Reporting
Retrospective medical coding audits
Medical record abstraction
Health information regulatory compliance
Document quality checks
Clinical documentation improvement
Health information management
Clinical confidentiality policies
Clinical documentation standards
Healthcare claims compliance audits
Medical record review for billing accuracy
DRG

Full Job Description

Description:

At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.

With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.

Requirements:

The Coder Reviewer position is responsible for supporting and conducting reviews and determinations for independent dispute resolutions at both the Federal and State levels. Subject matter expert in clinical documentation review, clinical data abstraction, clinical coding, auditing, and variables impacting payment methodologies that are based in medical record documentation. Performs compliance audits employing specified protocols and criteria; conducts data abstraction and collection activities; interprets and applies coverage and payment policies, edits, and certification and regulatory requirements for medical necessity and other audit decisions; classifies findings and provides commentary for clinical data, qualitative, and statistical analyses; records rationale for and basis of audit findings using proper grammar and communication methods; writes reports in accordance with company requirements. Provides feedback to hospitals concerning audit findings and discusses rationales for audit decisions.

Primary Duties:

Performing audit functions for the identified encounters in a timely and accurate manner.
Generating well-written deliverables and audit work papers.
Outstanding verbal communication skills.
Outstanding communications and interactions with hospital and client personnel.

Requirements

Essential Knowledge:

2 or more years of relevant experience performing complex coding; quality assurance, training, appeals, and/or auditing services involving ICD-10-CM/PCS, CPT/HCPCS, DRG/APRDRG, and/or other coding, classification, and/or payment systems pertinent in the healthcare industry, including but not limited to, State of Maryland, in particular.
Ability to research, determine, and apply solutions.
Ability to communicate effectively with other reviewers and clients to ensure quality of audit findings and acceptance and understanding of findings.
Practical knowledge of and ability to comply with Health Insurance Portability and Accountability Act (HIPAA), and other laws and regulations pertaining to confidentiality, privacy of protected health information, personally identifiable information, and other sensitive information.
Practical knowledge of and ability to comply with system and information security requirements.

Essential Education:

Bachelor’s degree in a related discipline or specialized licensure, certification, or accreditation.

RHIA, RHIT, RN, or MD; CCS, CCS-P, CPC, CRC

Registered Nurses (RNs) and other personnel with medical degrees will be considered if they have a proven track record of auditing clinical coding and supporting clinical documentation. Must be able to apply all relevant ICD-10 diagnosis and procedure coding guidelines for appropriate MS-DRG assignment.

This position requires notifying a Livanta HR Manager in writing within five calendar days if there is any status change or disciplinary proceeding relating to any of Employee’s licenses or certifications, including, but not limited to, (1) restrictions on an employee’s license or certification, (2) changes to the states in which Employee can practice (3) revocation or expiration of any license or certification, and (4) any potential or actual disciplinary action against Employee by a certifying or licensing body.

Essential Skills:

Must have senior-level outpatient hospital coding experience. Must write in plain language, summarizing medical facts and coding principles that support coding decisions, including appropriate references from authoritative sources. Must be able to coordinate work and communicate efficiently with physician reviewers responsible for making clinical decisions.

CODING SPECIALIST (PART-TIME)

Additional Considerations

Organizational "Fit" Considerations:

Schedules may vary and may include weekend and holiday shifts. This position requires established, professional relationships with internal personnel at all levels within the company and with beneficiaries, representatives, providers, and other stakeholders.

Work Environment/Physical Demands

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This is an office/remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch.

This is a remote position. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch.

Commence is an equal employment opportunity employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law.

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or [email protected]. Please note that unless you are requesting an accommodation, all applications must be submitted through our online application system.

Apply Now

Refine Your Search

audit jobs in virginia beach, va

IDR Coder Reviewer

IT Assessor Jr.-Secret Clearance (REMOTE)

LMHP Supervisor to QMHPs

Mental Health Clinical Director

Accounts Payable Specialist (Minimum of 4 years of experience)

Pediatric Hospice Registered Nurse - Team Lead

Housing Stabilization Specialist

Accounts Receivable Specialist in Collections

Transportation Manager

Environmental Compliance Manager

Audit Senior Associate

Senior Cyber Security & GRC Engineer

Accounting Specialist

Operations Manager AGI

Regional Director of Clinical Reimbursement (MDS)

Accounts Specialist

Senior Supplier Quality Engineer

Director of Accounting - Healthcare

Quality Engineer

FBI Special Agent: CPA/Accounting/Finance Expertise

I want to receive the latest job alert for audit in virginia beach, va

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