• Conduct provider and coder-level audits • Review medical record documentation and coding accuracy • Identify compliance risks and outliers • Support RADV and other risk adjustment audit initiatives • Partner closely with Risk Adjustment leadership and cross-functional teams • Help ensure coding accuracy, regulatory compliance, audit readiness, and corrective action follow-through across the organization • Provide audit feedback and compliance education to internal and provider-facing stakeholders as needed

Role Description The Environmental Health and Safety Officer is responsible for the consistent implementation of safety, health and environmental compliance programs across NTT Global Data Centers, Americas. Qualifications - Bachelor’s degree in occupational safety, or a similar degree, or equivalent experience - OSHA training and certifications a plus - CSHO, SHEP or CSP preferred Requirements - 3+ years of direct safety and environmental experience - Regularly moves equipment and other hardware up to 50 lbs - Frequently move about inside and outside of data center / facility - Remain stationary for long periods of time - Ascend / Descend a ladder and perform duties atop a raised platform - Position self in small spaces - Operate computer, peripherals, and other office equipment - Perform work during US business hours and time zones Benefits - Competitive compensation based on experience, education, and location - Base salary for this position is $121,000 - $149,100 - Annual bonus eligibility based on individual and company performance - Paid time-off - Medical, dental, and vision benefits - Life and supplemental insurance - Short-term and long-term disability - Flexible spending account - 401k retirement plan

• Conduct comprehensive audits of professional evaluation and management services, inpatient, emergency room, minor procedures, consultation services, and annual wellness service encounters • Review and analyze provider documentation for completeness and accuracy to ensure proper code assignment in accordance with CPT, HCPCS, ICD-10-CM, and CMS guidelines • Utilize various encoders and coding tools/resources (e.g., decisionhealth, 3M, AMA, CMS) to validate code selection and support audit findings • Prepare detailed audit reports, summarizing findings, trends, and recommendations for education or process improvement • Remain current with changes in coding guidelines, payer policies, and industry trends impacting Evaluation & Management services • Assist with internal and external audit responses and appeals as needed • Support compliance initiatives and contribute to ongoing process improvement within the coding and auditing team

Role Description The Compliance Coding Auditor performs a number of functions including: - Physician education - Internal auditing - Coder education - Management of AR queries/problems - Liaison with external auditors for corporate audits The internal audit program assures optimal ethical reimbursement for Sentara's patients and ensures 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 Condition Categories (HCC) - Other federal payer policies The Auditor 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 - All other complex coding protocols within one year All queries arising from the audit process are managed by the Compliance Auditor, who: - Follows the audit plan - Completes numerous audits - Provides follow-up to coders, management, and physicians - Looks for new problem areas and trends - Advises Manager of Audit and Coding Compliance - Works with leadership regarding scheduling of internal and external audits Qualifications - Associate Level degree preferred but required - CPC or CCS certification (Required) - 4+ years of experience with multi-specialty coding (Required) - 4+ years of experience with acute care outpatient coding (Required) - Professional fee coding experience (Required) - Remote work opportunity preferred for candidates in the Virginia/North Carolina geographic location Benefits - Medical, Dental, Vision plans - Adoption, Fertility and Surrogacy Reimbursement up to $10,000 - Paid Time Off and Sick Leave - Paid Parental & Family Caregiver Leave - Emergency Backup Care - Long-Term, Short-Term Disability, and Critical Illness plans - Life Insurance - 401k/403B with Employer Match - Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education - Student Debt Pay Down – $10,000 - Reimbursement for certifications and free access to complete CEUs and professional development - Pet Insurance - Legal Resources Plan - Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria are met