UNKNOWN

ADAPTED_NOW

The ideal candidate is a highly skilled Oracle developer with deep expertise in Financials (AP, AR, GL, PO, Inventory) and various interfaces, who can translate business requirements into efficient, scalable technical solutions within the EBS framework. Module Support: Support and enhance core Financial modules, including Accounts Payable (AP), Accounts Receivable (AR), General Ledger (GL), Purchasing (PO), and Inventory (INV), alongside custom-built processes within the Oracle application.

PLANIT Group is a fast-growing global technology consulting firm dedicated to delivering innovative solutions to our clients that drive results. We collaborate with our partners and customers to help them improve performance, efficiency, and quality. Our team delivers innovative solutions and services - including management consulting, systems integration, ERP solutions, enterprise architecture, communications, and infrastructure services. We focus on delivering value and driving increased productivity and efficiencies for our clients’ mission. Our extensive experience in the Federal, Defense, Intelligence, State, Local, Healthcare and Commercial industries delivers proven results and accelerated benefits.
Clients engage PLANIT for our expertise, innovative approach, and our exceptional team. We promote a creative, client-centric work environment and culture, striving to provide challenging and rewarding opportunities for our company’s employees and partners. Integrity and innovation are the core principles of our company philosophy. Our customers engage us to create solutions to complex mission challenges, and PLANIT delivers. For more information, visit http://www.planitgroup.com/. Innovation. Integration. Integrity.

PlanIT Group

Oracle EBS Financials Developer

FEED

In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Clinical Coding Analyst RN, Consultant

Employee must be 18 years of age or older; Certified Professional Coder (CPC), Certified Coding Specialist – Physician-based (CCS-P), or equivalent credential required; Certified Professional Medical Auditor (CPMA) credential a plus; Firm understanding of medical terminology; Strong understanding of the laws regarding compliance; Ability to work independently and as part of a team; Excellent written and verbal communication skills; Excellent computer skills, including Microsoft Office applications; Two years’ experience working in a medical facility preferred; primary care physician (PCP) practice a plus; Two years’ medical coding experience preferred; Two years’ medical auditing experience preferred; Ability to prioritize and multitask; Ability to sit for up to 8 hours at a time. Paid Annual Leave, Volunteer Time Off Pay, Bereavement Leave, Emergency Leave Bank.

YEAR

Patient First History Since opening our first medical center in 1981, Patient First's vision remains the same: making access to quality medical care as convenient and cost-effective as possible. To achieve this objective, we have adopted and continue to embrace many innovative operating systems and practices. All Patient First medical centers are open every day of the year from 8 am to 10 pm - including weekends and holidays. Patients can come at times that best fit their schedules and when urgent medical attention is needed on days as well as at times when other facilities are closed. No appointments are necessary. Patients can walk into a Patient First center and receive prompt attention upon arrival. Patients who wish to see a particular physician or physician assistant can call ahead or click here to explore the dates and times when that person will be seeing patients. X-rays, lab tests, and pre ion drugs are available on-site to save time and reduce the need for extra trips. These innovations, along with sophisticated, automated registration and treatment systems and our commitment to an excellent medical staff and quality of care have been widely accepted, allowing Patient First to expand considerably over the years. Patient First now offers both primary and urgent care services and participates in most insurance plans. We also provide a broad range of Occupational Health services. There are currently 41 Patient First centers: 9 in Greater Richmond; 8 in Greater Hampton Roads, Tidewater, and the Peninsula; 14 in Greater Baltimore; 5 in Greater DC; 2 in Eastern Pennsylvania; and 3 in Central Pennsylvania. Expansion plans include building additional centers in all these areas in addition to other localities and states.

Patient First

Coding & Reimbursement Analyst

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Currently has, or is in the process of obtaining one of the following with an expectation that the required degree will be obtained on or before the scheduled start date: A Bachelor''s Degree in a quantitative field (Business, Finance, Accounting, Statistics, Economics, Operations Research, Analytics, Mathematics, Computer Science, Computer engineering, Software engineering, Mechanical engineering, Information Systems or a related quantitative field). The Analysis Product team within ADCI drives the product experience for AI tools and capabilities adopted by non-engineering, analysis-driven roles across the enterprise, such as data scientists, data analysts, business analysts, strategy analysts, product managers, and underwriters.

Capital One Financial Corp

Business Manager - AI Coding Tools Strategy & Analytics

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Preferred Skills, Capabilities and Experiences: Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. How you will make an impact: Sets the strategic direction for audit methodologies, oversees team development, and ensures that audits meet the industry's best practices and payer-specific requirements.

Elevance Health Inc

DRG Coding Audit Manager

Preferred Skills, Capabilities and Experiences: Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. Locations: The selected candidate must reside within a reasonable commuting distance of the designated posting location(s): District of Columbia, Virginia, Indiana, Georgia, Ohio, Maryland; New Jersey, New York and Texas.

Elevance Health

Assign, sequence, validate, and/or edit ICD-10-CM and ICD-10-PCS codes and DRGs for acute care inpatient records across multiple facilities. Our team plays a critical role in ensuring clinical documentation integrity, accurate reimbursement, and compliance across large-scale healthcare systems.

Jenn Nguyen and Friends

Inpatient Coding Specialist

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The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.

Ensemble Health Partners

Physician Coding Auditor

The Education Consultant works with stakeholders to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and improve the quality of physician documentation within the body of the medical record to support code assignments. The Coding Operations Education Consultant (Work from Home) is responsible for assisting in the efficient and effective design, development, and delivery of all coding operations education components for Physician Services - Clinical Service Group.

At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Richard M. Bracken serves as Chairman of HCA and R. Milton Johnson is the company's President and Chief Executive Officer. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.

HCA Healthcare

Coding Operations Education Consultant WFH

Jobvite Talemetry Organic Easy Apply

Position Overview: Responsible for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and coding staff and root cause correction to support accurate charging and coding in compliance with policies. Demonstrated ability to utilize official coding/billing resources including CPT/HCPCS references, OPPS Manual, NCCI Manual, NUBC Manual, etc. to determine applicable charges/codes as documented in the health record.

HOUR

Sutter Health has a long history in California. Some of our facilities have been providing care in the communities we serve for more than 100 years. Today, we’re proud to partner with more than 12,000 doctors to care for more than 3 million people.
We’re inspired by our Northern California community and work tirelessly to deliver top-rated, affordable healthcare. Doctors, hospitals, care teams and employees in the Sutter Health network are always looking for new, meaningful ways to care for you and your loved ones. We believe that every moment matters when it comes to helping you live a longer, healthier and happier life.
Our not-for-profit network delivers top-rated, personalized care in more than 100 Northern California communities. Recently ranked among the Top 15 Health Systems in the nation by Truven Health Analytics™, our team of more than 50,000 doctors, employees and volunteers partner to spread innovation, improve access to healthcare services and put our patients’ needs first—all to achieve the highest levels of quality, access and affordability.

Sutter Health

Charge Audit Analyst

FULL_TIME

This role verifies eligibility, reviews supporting documentation and medical codes, calculates reimbursement amounts, and supports timely payments to patients and healthcare providers. The Healthcare Claims Analyst reviews and processes patient assistance claims to ensure accuracy, completeness, and compliance with established policies and program requirements.

Accessia Health

Healthcare Claims Analyst (Hybrid)

Talent Acquisition

For the FAS project there is a need for a full-time Business Analyst/Change Management Analyst to support the FAS DDI deliverables processing and approvals/rejections from FAS vendor and deliverables from all other MES vendors impacted by FAS DDI to include quality of transfer, storage, and processing of associated deliverables using version control to/from the MES vendors, internal development teams, SMEs, and other contracted companies. Role needed to support the FAS DDI project & other multiple ongoing DDI projects to process deliverables/tracking along with processing requests/deliverables for changes to the MES System.

Apollo Technology Solutions LLC

Business Analyst/Change Management Analyst

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Serving as a primary point of contact on how products and technology support business processes, and maintaining solutions in production through a defined change management process. We’re hiring across experience levels, from analysts looking to deepen their skills to seasoned professionals ready to lead by example and influence decisions.

Kinsale Insurance

Business Analyst / Senior Business Analyst

Taco John's International Inc

Kinsale Management

PART_TIME

Kinsale Management, Inc

Supporting NetSuite release upgrades and configuration needs, including testing, regression validation, saved searches, reports, workflows, roles and permissions, and custom fields. As a Business Analyst or Senior Business Analyst, you’ll support the finance and accounting applications and processes that keep Kinsale running, including NetSuite, Accounts Receivable, Accounts Payable, and financial data flow and reporting.

Business Analyst / Senior Business Analyst, Finance & Accounting Systems

As an Accounts Receivable Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

Deloitte

Accounts Receivable Analyst

Skill Required / Desired Amount of Experience Extensive technical experience working w/ Oracle eBusiness Suite 12.2 or above w/in Linux server environments hosted on Oracle Cloud Infrastruct Required 8 Years Experience coding and implementing Oracle eBusiness Suite software development solutions, to include the Accounts Payable, General Ledger, Purchasing, Required 8 Years Exp with iRecruitment, Human Resources, and Time and Labor modules Required 8 Years Proficiency with Oracle Developer Suite (Forms/Reports), Oracle JDeveloper (Java), Oracle Workflow Builder and PL/SQL Required 8 Years Extensive technical experience in systems analysis and design Required 8 Years Experience and proficiency with Microsoft, Visio, SharePoint and Office applications Required 8 Years Proven analytical and problem-solving abilities Required 8 Years Excellent verbal and written communication skills Required 8 Years Ability to work both independently with minimal direction and collaborate as a team Required 8 Years Highly motivated and self-directed Required 8 Years Experience working with Azure Devops Desired 8 Years Experience with the VA Cardinal HR and/or Financial system Desired 8 Years About our Company. Responsibilities Include: Executing application development for Oracle eBusiness Suite 12.2 or above, including, but not limited to, the Accounts Payable, General Ledger, Purchasing, iRecruitment, Human Resources, and Time and Labor modules.

Incorporated in 1994, DataSoft Technologies, Inc. is a customer-focused consulting and staffing services organization that provides solutions across all disciplines of business, including Engineering, Finance, Information Technology, Professional, Consulting, and software development. Its staff augmentation and business solutions provide a flexible, integrated workforce available for contract to hire&mdash;or permanent placement&mdash;with companies in the private and public business sectors. The company serves a broad range of businesses in the automotive, financial services, insurance, manufacturing, media and entertainment, software and telecommunications industries.

Datasoft Technologies

Oracle eBusiness Suite - Programmer Analyst 3

The Medicare Pricing Procedures Analyst also researches and responds to interdepartmental requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the Technical Claims team with projects that improve the accuracy and efficiency of Medicare pricing operations. This role supports the implementation and validation of CMS pricing updates, maintains pricing information within Medicare systems, and collaborates with CMS, Shared System Maintainers, and other Medicare Administrative Contractors (MACs) to ensure accurate and timely claims payment.

Coding Analyst Jobs in Richmond, VA

Oracle EBS Financials Developer PlanIT Group

Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield Association

Coding & Reimbursement Analyst Patient First

Business Manager - AI Coding Tools Strategy & Analytics Capital One Financial Corp

DRG Coding Audit Manager Elevance Health Inc

DRG Coding Audit Manager Elevance Health

Inpatient Coding Specialist Jenn Nguyen and Friends

Physician Coding Auditor Ensemble Health Partners

Coding Operations Education Consultant WFH HCA Healthcare

Charge Audit Analyst Sutter Health

Healthcare Claims Analyst (Hybrid) Accessia Health

Business Analyst/Change Management Analyst Apollo Technology Solutions LLC

Business Analyst / Senior Business Analyst Kinsale Insurance

Healthcare Claims Analyst (Hybrid) Taco John's International Inc

Business Analyst / Senior Business Analyst Kinsale Management

Business Analyst / Senior Business Analyst Kinsale Management, Inc

Business Analyst / Senior Business Analyst, Finance & Accounting Systems Kinsale Management, Inc

Accounts Receivable Analyst Deloitte

Oracle eBusiness Suite - Programmer Analyst 3 Datasoft Technologies

Medicare Pricing Analyst Wisconsin Physicians Service Insurance Corp

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