Sentara Healthcare

Sentara Norfolk General Hospital seeks a full-time Advanced Practice Provider (APP) to join the Case Management Pharmacy Program. This role supports health risk assessments, rewrites prescriptions, and reviews a high patient load from a hybrid setting that includes hospital and remote work. Ideal candidates have 1 year of APP experience in Family Medicine; experience in Rheumatology or Infectious Disease is preferred. #J-18808-Ljbffr

Compliance Coding Auditor Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines. Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit (RVU) value related to Non-Physician Practitioner (NPP) services, Provider Based Billing (PBB) locations, and all other complex coding protocols within one year. All queries arising from the audit process are...