15 jobs found in Chesapeake

IPA Consultative Coding Professional Become a part of our caring community and help us put health first *** $5,000 SIGN-ON BONUS for new associates! $5,000 payable following 90 days employment. ***The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO-contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an IPA Consultative Coding Professional, we will assign you a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and...

Medical Biller – Payor Account Representative Bayview Physicians Group is a growing outpatient multi‑specialty medical group serving the Hampton Roads area. We are seeking a detail‑oriented Medical Biller – Payor Account Representative, who thrives in a team‑focused environment and is committed to providing excellent service to patients and staff. Why Join Us? Supportive, collaborative team environment Opportunities for growth and continued learning Full‑time benefits Competitive pay: $15‑$27/hour. Actual pay depends on specialty, experience, schedule and job duties Responsibilities Submit, track, and follow up on insurance claims Resolve unpaid, denied, or rejected claims File appeals and process refunds when appropriate Assist patients with billing and insurance questions Maintain knowledge of insurance policies and billing procedures Work claim edits, validations, and clearinghouse issues Maintain confidentiality and compliance standards Support team workflow and...

Job Title Essential Duties and Responsibilities These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned. Coordinate, supervise, and respond to third-party patient bill audits. Perform patient-requested audits in a timely manner. Perform random quality audits as schedule permits. Assist Patient Account personnel with patient questions about itemized charges. Maintain reporting systems for audit activities and identify patterns and trends in results. Act as a resource for all hospital departments regarding charging questions and issues. Routinely review inpatient and outpatient records for appropriate coding and charging. Provide educational sessions for revenue-producing departments regarding appropriate charging processes and procedures. Work cooperatively with the Patient Accounting staff and other healthcare professionals in obtaining correct HCPCS codes and modifiers. Assist the Health...

Medical Biller- Payor Account Representative Bayview Physicians Group Bayview Physicians Group is a growing outpatient multi-specialty medical group serving the Hampton Roads area. We are seeking a detail-oriented Medical Biller- Payor Account Representative, who thrives in a team-focused environment and is committed to providing excellent service to patients and staff. Why Join Us? Supportive, collaborative team environment Opportunities for growth and continued learning Full-time benefits Competitive pay: $15-$27/hour. Actual pay depends on specialty, experience, schedule and job duties Responsibilities Submit, track, and follow up on insurance claims Resolve unpaid, denied, or rejected claims File appeals and process refunds when appropriate Assist patients with billing and insurance questions Maintain knowledge of insurance policies and billing procedures Work claim edits, validations, and clearinghouse issues Maintain confidentiality and...

Position Summary The Compliance Auditor plans, schedules, and performs comprehensive internal professional fee audits to include routine audits, focused audits, for cause audits and, not for cause audits for Chesapeake Regional Healthcare (CRH) and all of its affiliated entities. Performs detection of documentation, coding, and billing errors as well as collaboration with appropriate stakeholders to ensure corrective action and/or appropriate response to identified issues. Communicates audit results to providers, coders, management, and other appropriate staff. Develops and delivers provider and coder education. Evaluates the effectiveness of internal controls designed to ensure that processes and practices lead to regulatory compliance with guidelines related to professional fee documentation, coding, and billing. Stays abreast of documentation, coding, and billing regulations and standards and serves as a subject matter expert on the interpretation and application of...

Summary With direction from the Director, the Nurse Auditor/ Senior Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient medical record and other applicable hospital documentation, assigning modifiers to appropriate claims, researching edited claims for medical necessity, and advising the billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor/ Revenue Integrity Specialist works directly with revenue producing departments regarding lost charges, billing questions, and proper coding and charging. The nurse auditor reviews documentation on all Observation accounts for carve-out observation hours, the charge coding of ED Visits and Injection and Infusion charges. Essential Duties and Responsibilities Coordinate, supervise, and respond to third party patient bill audits. Perform patient requested audits in a timely manner. Perform random quality audits as schedule permits. Work and review a high volume of accounts assigned to...

Essential Duties and Responsibilities These duties and responsibilities represent the general tasks performed on a daily basis; other tasks may be assigned. Coordinate, supervise, and respond to third‑party patient bill audits. Perform patient requested audits in a timely manner. Perform random quality audits as scheduled. Assist Patient Account personnel with patient questions about itemized charges. Maintain a reporting system of audit activities and identify patterns and trends of results. Act as a resource for all hospital departments with charging questions and issues. Routinely review inpatient and outpatient records for appropriate coding and charging. Provide educational sessions for revenue‑producing departments regarding appropriate charging process and procedures. Work cooperatively with the Patient Accounting staff and other health‑care professionals in obtaining correct HCPCS codes and modifiers. Assist the Health Information Department with RAC requests,...

Compliance AuditorThe Compliance Auditor plans, schedules, and performs comprehensive internal professional fee audits to include routine audits, focused audits, for cause audits and, not for cause audits for Chesapeake Regional Healthcare (CRH) and all of its affiliated entities. Performs detection of documentation, coding, and billing errors as well as collaboration with appropriate stakeholders to ensure corrective action and/or appropriate response to identified issues. Communicates audit results to providers, coders, management, and other appropriate staff. Develops and delivers provider and coder education. Evaluates the effectiveness of internal controls designed to ensure that processes and practices lead to regulatory compliance with guidelines related to professional fee documentation, coding, and billing. Stays abreast of documentation, coding, and billing regulations and standards and serves as a subject matter expert on the interpretation and application of...

Responsibilities Provides medical coding expertise and consultative support to IPA affiliates nationwide Analyzes trends, triages and answers questions in real time Delivers ongoing education and supports coding workflows for assigned providers Conducts quarterly chart reviews to evaluate coding accuracy Participates in daily coder helpdesk providing real-time support for providers Requirements 3+ years of risk adjustment Medical Coding or risk adjustment Provider Education Intermediate/advanced competency with MS Office based programs (Excel, Word, PowerPoint) Must be certified at least one of the following: CCS, CRC, or CPC Must reside and be able to travel within the assigned MSO market or region. #J-18808-Ljbffr

CenterWell Senior Primary Care is seeking an IPA Consultative Coding Professional to provide coding expertise and support to independent providers. The role involves collaborating with clinicians to ensure accurate diagnostic coding and compliance, while delivering education based on trends and best practices. The ideal candidate will have over 3 years of experience in risk adjustment medical coding and must hold a valid certification. A hybrid work model is offered, with a requirement to be located within 50 miles of Chesapeake, Virginia. #J-18808-Ljbffr

TEKsystems is seeking a Medical Outpatient Surgical Coder for a fully remote role. Required: 4+ years in outpatient and surgical coding, with EPIC experience preferred. Must live in VA, TX, FL, or NC. The coder will handle outpatient surgery and observation coding, review operative reports, and ensure CMS/AHIMA compliance. Contract-to-hire position based out of Chesapeake, VA, with a pay rate of $29–$33 per hour. Epic experience and additional ED coding exposure are pluses. #J-18808-Ljbffr

Chesapeake Regional Healthcare in Chesapeake, Virginia, is seeking a skilled Medical Coder to manage coding and billing processes effectively. The ideal candidate will possess a Certified Professional Coder Certificate and have experience in healthcare billing and coding. This role includes updating fee schedules, assigning correct codes for claims, and ensuring compliance with regulations. Strong organizational and communication skills are vital for success. Join us to make a significant impact in patient care. #J-18808-Ljbffr

Chesapeake Regional Healthcare is seeking a Senior Coding Specialist to accurately assign and sequence ICD diagnostic and procedural codes for healthcare records. The role involves ensuring coding compliance, maintaining accuracy, and collaborating with medical staff. This position requires completion of an accredited coding program and four years of coding experience in an acute hospital setting. Required certifications include RHIA or RHIT and CCS or CIC. #J-18808-Ljbffr

Chesapeake Regional Medical Group is seeking a Senior Coding Specialist to perform coding tasks across physician practices, including obtaining pathology and operative reports, assigning ICD and CPT codes, and ensuring accurate transmissions within the system. The role requires experience in hospital/medical office settings, CPC certification (or within one year), and strong computer skills. You will participate in audits, education, and go-live support across multiple locations. #J-18808-Ljbffr

Billing And Follow-up RepresentativeBilling and follow-up representative are responsible for the compliant, accurate, and timely billing and follow-up of all outpatient clinic patients.Duties and responsibilities described represent the general tasks performed on a daily basis, but not limited as other tasks may be assigned. Understand how to resolve and identify patient accounting from billing system.Provide customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts in accordance with practice protocol. Patient calls regarding accounts receivable should be returned within 2 business days to ensure maximum patient satisfaction.Verify all demographic and insurance information in patient registration of the practice management system at the time of charge entry to ensure accuracy, provide feedback to other front office staff members and to ensure timely reimbursement.Follow-up on all outstanding insurance claims...