11 jobs found in Chesapeake

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,...

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...

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

Medical Biller- Payor Account RepresentativeBayview 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.Supportive, collaborative team environmentOpportunities for growth and continued learningFull-time benefitsCompetitive pay: $15-$27/hour. Actual pay depends on specialty, experience, schedule and job dutiesResponsibilitiesSubmit, track, and follow up on insurance claimsResolve unpaid, denied, or rejected claimsFile appeals and process refunds when appropriateAssist patients with billing and insurance questionsMaintain knowledge of insurance policies and billing proceduresWork claim edits, validations, and clearinghouse issuesMaintain confidentiality and compliance standardsSupport team workflow and complete additional duties as...

Billing And Follow-Up Representative Billing 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...

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...

Become a part of our caring community 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...

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

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

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...