134 jobs found in Norfolk

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health is seeking to hire a qualified individual to join our team as a Inpatient Coder/Abstractor Position Status : Full-time, Day Shift Position Location: This position is remote . Remote opportunities available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming For applicants within Washington State, the following hiring range will be applied:$24.93 to$35.42 / hour. Standard Working Hours : 8:00AM to 5:00PM (ET). Position Summary: Codes inpatient accounts applying appropriate ICD-10-CM/ICD-10-PCS/CPT-4 codes for hospital reimbursement, mortality & morbidity outcomes, research & statistical and...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans is hiring an Appeal Coordinator- Remote in Virginia and Florida! Status: Full-time,permanent position (40 hours) Standard working hours: 8am to 5pm EST, M-F. Location: Remote in Virginia or Florida. Job responsibilities: 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 responsible for non-clinical appeals and grievances. Education: HS - High School Grad or Equivalent REQUIRED Certification/Licensure: Must have Certified Professional Coder (CPC) and Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA) Experience: Managed...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health is seeking to hire a qualified individual to join our team as a Behavioral Health Utilization Management Care Coordinator for Substance Abuse. Position Status : Full-time, Day Shift, Position Location: Remote ONLY in the state of Virginia or North Carolina Standard Working Hours : M-F, 8 hour shift, can start between the hours of 6:00AM - 9:00AM EST Overview Behavioral Health Utilization Management Clinician is responsible for review of clinical information received from providers ensuring clinical data is substantial enough to meet Medical Necessity Criteria to authorize services as needed. Requires knowledge of medical necessity criteria for behavioral health and substance use services, DMAS protocols, clinical protocols and clinical review requirements. Requires knowledge of contractual, regulatory and compliance requirements for government payers, self-funded and commercial...

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