52 jobs found in Richmond

Inpatient Coder The Atlantic Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals department. This position performs the primary function of coding inpatient or outpatient records to include Ambulatory, ER and Miscellaneous Ancillary charges. Utilizes 3M Encoder to code and classify inpatient and/or outpatient records according to ICD-10. Responsible and accountable for maintaining performance skills. Key responsibilities include: Coding of inpatient/outpatient medical records in accordance with AHA Coding/NCCI compliance guidelines. Review medical records online and assign ICD-10-CM and CPT codes to inpatient and/or outpatient records. Ability to code inpatient and outpatient hospital records with a 95% accuracy rate. Consistently meets productivity standards in accordance with HIM Departmental guidelines. Maintains a coding proficiency rating consistent with HIM Departmental standards. Compliance with continued educational requirements...

Base Pay $20.00 / Hour Job Category Accounting, Finance Industry Continuing Care Retirement Communities, Senior Health Care, Medical Billing Employee Type Full Time Required Degree 2 Year Degree Manage Others No Contact information Phone 804-264-6583 At Westminster Canterbury of Richmond, you can learn, grow and make a lasting impact on residents and families. You'll experience the support of a collaborative work environment and a sense of collegiality unlike any other! We offer: A comprehensive benefits package including health, vision, dental life insurance, disability insurance and 403B retirement savings with company match. On Site Amenities ! Including a gym, fitness classes, Chesapeake Bank Branch, Employee Dining Room with discounted meals and an award-winning Child Development Center with a generous employee discount for both full and part-time employees ! Educational Assistance : We support your continuing education and career advancement by offering tuition...

The City of Lincoln is seeking a Medical Billing Specialist in Richmond, Virginia, responsible for ensuring accuracy in accounts receivable functions, including residents' billings and Medicare/Medicaid claims. The position requires proficiency in medical billing practices, and at least three years of relevant experience. We offer a competitive salary, a comprehensive benefits package including health insurance, and opportunities for professional growth. Additional perks include an onsite gym and educational assistance. Join us to help make a positive impact in our community! #J-18808-Ljbffr

Inpatient Coder The Atlantic Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals department. This position performs the primary function of coding inpatient or outpatient records to include Ambulatory, ER and Miscellaneous Ancillary charges. Utilizes 3M Encoder to code and classify inpatient and/or outpatient records according to ICD-10. Responsible and accountable for maintaining performance skills. Key responsibilities include: Coding of inpatient/outpatient medical records in accordance with AHA Coding/NCCI compliance guidelines. Review medical records online and assign ICD-10-CM and CPT codes to inpatient and/or outpatient records. Ability to code inpatient and outpatient hospital records with a 95% accuracy rate. Consistently meets productivity standards in accordance with HIM Departmental guidelines. Maintains a coding proficiency rating consistent with HIM Departmental standards. Compliance with continued educational requirements necessary...

Certified Coder The Atlantic Region Central Billing Office (CBO) is seeking a dynamic and talented Certified Coder. The primary responsibility of the Coder is to assist the CBO with the review of medical records, assign ICD-10 and CPT codes to Inpatient or Outpatient records as needed, meet productivity requirements and meet all legal (federal and state) coding requirements. Key responsibilities include: Analyze and evaluate medical records and assign appropriate ICD-10 and CPT diagnostic and/or procedure codes in accordance with coding guidelines. Reviews APC edits and add modifiers or delete charges as needed Consult with hospital staff when necessary to secure sufficient information to clarify data for proper coding and resolve discrepancies in the documentation and information contained in the medical record Works all daily facility reports as assigned to assure accurate and timely billing of accounts. Assist all CBO staff in relation to coding issues and/or questions that...

Dormont Manufacturing Co seeks a Senior Compliance Auditor based in Richmond, Virginia. The role reviews complex audits and ensures compliance with guidelines while mentoring the audit team. Applicants should have at least five years of healthcare experience and understand billing practices. The position requires proficiency in Microsoft Office, including advanced Excel skills. Ideal candidates will hold a relevant degree and applicable certifications from AAPC or AHIMA. #J-18808-Ljbffr

To be considered for the role, you must permanently reside in one of the following states: Alabama, Arkansas, Florida, Georgia, Kentucky, Kansas, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, South Carolina, Tennessee, Texas, Virginia, or West Virginia. Overview The Senior Compliance Auditor reviews complex audits, performs quality assurance reviews, acts as a peer mentor, and assists management with onboarding process of new auditors. Responsibilities Reviews complex audits, performs quality assurance reviews, and mentors compliance audit team. Supports supervisor with development and maintenance of quarterly audit work plan and audit workflow processes. Recommends changes to improve business operations using professional judgement and best practices. Performs documentation/chart audits on inpatient and outpatient records and provides analysis of provider and facility records. Audits VCUHS coding and billing (DRG, CPT, HCPCS, ICD-10) based on medical record...

Description Certified Medical Coder/Biller Location Richmond Hill, GA | Hybrid Remote Employment Type Full-time Reports to Billing Manager Department Revenue Cycle Management Job Summary The Certified Medical Coder/Biller is responsible for accurately submitting claims to insurance companies, ensuring timely reimbursement for medical services provided by the healthcare facility. This role involves reviewing patient bills for accuracy and completeness, resolving any billing issues, and communicating effectively with patients, insurance companies, and healthcare providers. The ideal candidate will have strong attention to detail, excellent organizational skills, and a solid understanding of medical billing processes and insurance guidelines. Key Responsibilities Claims Processing: Prepare and submit accurate and timely insurance claims for services rendered. Verify patient insurance coverage and ensure correct billing to the appropriate payer. Review and process Explanation...

Medical Coder The Medical Coder is responsible for ICD-10 coding of diagnoses and procedures of inpatient/outpatient discharged patient records. Job Specific Responsibilities Daily assignments may include but are not limited to: Apply diagnoses codes to in-patient, out-patient, and emergency services Maintain knowledge of current laws and regulations related to insurance, Medicare, Medicaid, and DRG coding, sequencing, and CPT coding Perform quality improvement reviews as assigned All other assigned duties related to Health Information Management Inpatient Coder Duties Review and analyze inpatient medical records to assign ICD-10-CM/PCS codes. Ensure completeness of the record to assign the accurate DRG (Diagnosis Related Group) assignment for reimbursement. Maintain knowledge of current coding guidelines, Coding Clinics and facility-specific coding policies. Collaborate with clinical documentation specialists as needed for unclear or inconsistent documentation...

Universal Hospital Services Inc. is looking for a dynamic Certified Coder to join the Atlantic Region Central Billing Office. The primary responsibility includes reviewing medical records and assigning ICD-10 and CPT codes for both inpatient and outpatient records. The ideal candidate will have a High School Diploma, relevant coding credentials, and strong attention to detail. Benefits include competitive compensation, generous paid time off, and various health plans. #J-18808-Ljbffr

Medical Coder Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented team. Job Location: Richmond, VA About the Role: We are seeking experienced Medical Coders to support post-market surveillance and adverse event case processing tied to FDA reporting requirements. This is a unique, high-priority role supporting consumer products, including nicotine and tobacco products. You will work directly within our existing complaint databasenot a contractor-managed systemto ensure timely continuity of daily operational workflows. Key Responsibilities: Perform MedDRA coding on adverse event reports derived from consumer complaints. Conduct seriousness, severity, and expectedness assessments for each case. Identify potentially reportable serious adverse events in compliance with FDA requirements. Process daily consumer complaints within the client's proprietary...

Alabama, Arkansas, Florida, Georgia, Kentucky, Kansas, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, South Carolina, Tennessee, Texas, Virginia, or West Virginia*** The Senior Compliance Auditor reviews complex audits, performs quality assurance reviews, acts as a peer mentor, and assists management with onboarding process of new auditors. The Senior Compliance Auditor supports the audit supervisor with the development and maintenance of the quarterly audit work plan and audit workflow processes. The Senior Compliance Auditor recommends changes to improve business operations by using professional judgement and knowledge of best practices. This position contributes to special projects, as applicable. The Senior Compliance Auditor performs documentation/chart audits on inpatient and outpatient records, and to provide analysis of the records (provider and facility) reviewed, education and other assistance, as needed. The Senior Compliance Auditor audits VCUHS coding...

HCA Healthcare is hiring an Inpatient Coding Auditor who will conduct internal quality assessments to ensure coding compliance and integrity. This remote role requires adept knowledge in medical coding practices and experience in coding auditing, with responsibilities across multiple healthcare facilities. Applicants should have a background in health information management, with at least three years of coding experience and preferably relevant certifications. A comprehensive benefits package, including health insurance and retirement plans, is offered. #J-18808-Ljbffr

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a work-from-home Inpatient Coding Auditor with Parallon you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes and communicate them to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the medical record to support code assignments. What you will do in this role Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding...

Responsibilities Atlantic Region Central Billing Office (“ARCBO”) or (“CBO”) provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented Certified Coder . The primary responsibility of the Coder is to assist the CBO with the review of medical records, assign ICD-10 and CPT codes to Inpatient or Outpatient records as needed, meet productivity requirements and meet all legal (federal and state) coding requirements. Key Responsibilities Analyze and evaluate medical records and assign appropriate ICD-10 and CPT diagnostic and/or procedure codes in accordance with coding guidelines. Reviews APC edits and add modifiers or delete charges as needed. Consult with hospital staff when necessary to secure sufficient information to clarify data for proper coding and resolve discrepancies in the...

Job Title Accounting, Finance Location 1600 WESTBROOK AVE, Richmond, VA, 23227-3337, United States Base Pay $20.00 / Hour Industry Continuing Care Retirement Communities, Senior Health Care, Medical Billing Employee Type Full Time Required Degree 2 Year Degree Manage Others No Minimum Experience 3 Years Contact Information Name Zoneia Robinson Phone 804-264-6583 Email zrobinson@wcrichmond.org

Job Description Oracle Health is a comprehensive suite of healthcare technology solutions designed to help organizations advance patient care, improve operational efficiency, and enhance caregiver experiences. Building on Oracle's global expertise in cloud technology, data management, and analytics, Oracle Health delivers integrated electronic health records (EHR), population health tools, and data-driven insights for hospitals, clinics, and health systems. By connecting data and workflows across the continuum of care, Oracle Health empowers providers to make informed decisions, streamline processes, and drive better health outcomes. The Senior Compliance Specialist provides guidance to cross-functional teams on medical device quality system compliance, with a focus on quality system support for CE marking processes and requirements under the EU Medical Device Regulation (EU MDR). Responsibilities The Senior Compliance Specialist will provide quality system support...

Position Description & Qualifications The Centers for Medicare & Medicaid Services (CMS) Comprehensive Error Rate Testing (CERT) program plays a vital role in safeguarding the integrity of the Medicare Fee-for-Service (FFS) program by ensuring that taxpayer-funded healthcare payments are accurate, appropriate, and compliant with federal requirements. Supporting CMS’s obligations under the Payment Integrity Information Act (PIIA), the program uses statistically valid sampling and independent medical review of claims to identify improper payments and measure program performance. The insights generated through CERT enable CMS to strengthen accountability, improve healthcare delivery practices, and drive corrective actions that protect both beneficiaries and public funds. Through this work, the CERT program helps uphold transparency, stewardship, and trust in one of the nation’s most critical healthcare systems. This position ensures the supervision of the Medical Records...

Pulmonary Associates of Richmond is looking for a dynamic and enthusiastic full-time AR Billing Specialist Senior responsible for all aspects of the revenue cycle for the practice. The ideal candidate will manage claim statuses, resolve denials, and perform daily analysis of accounts receivable. With a preference for those with one year of medical billing or customer service experience, this role also requires proficiency in CPT, ICD-10-CM, and HCPCS coding guidelines. Benefits include health insurance and paid time off. #J-18808-Ljbffr

Responsibilities Under the general direction of the Director of the Health Information Management department the Coder II (RHIA) (RHIT) (CCS) is an advanced coding position that is responsible for providing a second level review of codes assigned to medical diagnoses and clinical procedures. The coder II will be assigning diagnostic and procedure codes based on abstracted information from the medical record utilizing ICD10-CM, ICD10 PCS and CPT. Qualifications MINIMUM EDUCATION: High School Degree or equivalent required; relevant experience in lieu of High School Diploma/GED education will be considered. Associates Degree preferred. MINIMUM WORK EXPERIENCE: 2 years of experience in a hospital setting coding both inpatient and outpatient. REQUIRED LICENSES/CERTIFICATIONS: Certification in RHIA, RHIT, or CCS. REQUIRED SKILLS, KNOWLEDGE, AND ABILITIES: Ability to code utilizing ICD10-CM, ICD10 ICD10 PCS and CPT, experience with an encoder. Knowledge of...