52 jobs found in Richmond

Responsibilities Atlantic Region CBO: The 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. https://jobs.uhs.com/atlantic-region-cbo The Atlantic Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals department. The primary responsibility of the DRG Coder is to analyze third party coding audits of paid claims, draft detailed appeal letters, evaluate clinical level of care and review denial trends. Key Responsibilities include: Perform DRG (Diagnosis Related Group) validation reviews in response to audits from third party payers. Review audit findings letters from third party payers to obtain a clear understanding of audited diagnosis codes and underlying payer clinical / coding rationale. Analyze medical records to obtain supporting clinical documentation...

About the role As a Medical Coding Quality Auditor, you will play a critical role in ensuring coding accuracy, compliance, and quality across healthcare records. You will collaborate with coding professionals and physicians to support accurate clinical documentation, regulatory compliance, and operational excellence while maintaining high quality and productivity standards in a remote work environment. In this role, you will: Review medical documentation to accurately assign diagnosis and procedure codes. Communicate with physicians and other healthcare providers to obtain or clarify diagnoses and procedures through the coding query process. Assign accurate codes using electronic encoder applications in accordance with company policies, coding guidelines, and regulatory requirements. Perform peer reviews and quality audits of Health Information Management coding auditors and coders. Prepare and complete reports, audit findings, and other deliverables as requested. Monitor...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies....

Datavant, a healthcare data collaboration platform, is seeking experienced inpatient coders to join our remote team. The role emphasizes precision in ICD-10-CM/PCS coding and leadership of junior coders, with a flexible schedule and strong collaboration across departments. Candidates should have at least 3 years of inpatient coding experience, CCS/RHIT/RHIA preferred, and solid communication skills. We offer comprehensive benefits, ongoing training, and a commitment to equal opportunity. #J-18808-Ljbffr

Datavant is seeking experienced inpatient coders to join our remote team in the healthcare data ecosystem. You will assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS, sequence and abstract codes from patient records, and support coding quality and documentation improvement initiatives. The ideal candidate will have at least 3 years of inpatient coding experience and hold CCS, RHIT, or RHIA credentials preferred. #J-18808-Ljbffr

Position: Inpatient Coder Client: Healthcare Provider Location: 100% Remote (PST Hours) Contract Length: 6-months, with potential for extension Start Date: ASAP Summary Medasource is partnering with a leading regional health system to hire experienced Inpatient Medical Coders for a fully remote contract opportunity. This role supports a high-acuity, multi-specialty environment and is ideal for coders with strong experience handling complex inpatient cases. Key Responsibilities Perform accurate inpatient coding across a wide range of specialties, including: Cardiology, Neurology, Surgical cases, Transplants, Neonatal Intensive Care Unit (NICU), Additional complex inpatient cases Assign appropriate diagnosis and procedure codes in accordance with organizational, regulatory, and industry standards Maintain timely and accurate coding in a fast-paced, high-acuity environment Consistently meet established productivity and quality expectations Qualifications Certified Coding Specialist...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

AccessHealth in Richmond, TX is seeking a Claims Auditor to verify medical, dental, behavioral, and hospital insurance claims, ensuring accuracy and timely electronic submission in our practice management system. You will handle follow-up on outstanding claims and maintain precise accounts receivable records for the organization. Responsibilities include applying payments and adjustments, monitoring aging reports, and staying current with payer regulations to support efficient billing and #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Chapters Health System seeks an HIM Specialist to manage patient medical records, including tracking, assembling, and scanning within set timeframes. The role emphasizes accuracy, HIPAA compliance, and collaboration with clinical staff. Responsibilities include auditing admissions, ensuring signed orders, and finalizing records for discharge within 30 days, while supervising volunteers and supporting team meetings as needed. #J-18808-Ljbffr

Cognizant is seeking an Emergency Department Coder to ensure accurate, compliant medical coding across care settings. You will work with documentation, physicians, and HIM teams to support revenue cycle excellence in a fully remote role. Responsibilities include reviewing documentation, querying clinicians for clarification, applying coding tools, and completing audits to sustain a 98% accuracy rate while achieving productivity goals. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical...

Universal Health Services, Inc. in Richmond, VA is seeking a dynamic Commercial Billing Specialist to edit, prepare, and submit electronic and manual claims to third party payers with accuracy and timeliness. The role requires handling payer edits, resolving claim issues, attaching supporting documents, and daily productivity tracking. Prior medical billing experience and strong MS Office skills are preferred. #J-18808-Ljbffr

About the role As a Emergency Deparment Coder, you will make an impact by ensuring the accuracy, quality, and compliance of medical coding practices across multiple healthcare settings. You will be a valued member of the Health Information Management team and work collaboratively with coding professionals, physicians, and operational stakeholders to support regulatory compliance and revenue cycle excellence. In this role, you will: Review clinical documentation and accurately assign diagnosis and procedure codes for outpatient surgery, observation, emergency department, and outpatient diagnostic encounters. Communicate with physicians and clinical staff to obtain clarification on diagnoses and procedures through the coding query process. Utilize electronic encoder applications and coding tools to assign accurate codes in accordance with company policies and regulatory guidelines. Perform peer reviews and quality audits of coding professionals to ensure coding accuracy,...

PH Physician Supervisor (Medical Director) Title: PH Physician Supervisor (Medical Director) State Role Title: Physicians and Surgeons, All Other Hiring Range: $203,571.05 - $207,909.99 Pay Band: 8 Agency: Virginia Department of Health Location: Chesterfield HQ Agency Website: https://www.vdh.virginia.gov/chesterfield/ Recruitment Type: General Public - G Job Duties The Virginia Department of Health (VDH) is dedicated to protecting and promoting the health of Virginians. The VDH is made up of a statewide Central Office in Richmond and 33 local health districts. The Chesterfield Health District provides public health services to the residents of Chesterfield County, Powhatan County, and the City of Colonial Heights. This position is based in the Chesterfield Health Department. Are you interested in providing clinical care while working on ways to address the upstream causes of preventable diseases? The Chesterfield Health District is looking for a physician-leader who has...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

7650 Revenue Cycle Management. Schedule: Day Shift. 40 hours weekly. 7:00 am to 3:30 pm. About The Position: This position has the responsibility for providing accurate, complete, and appropriate coding using ICD-10-CM/PCS and CPT classification systems for the Richmond and Connersville locations. Assigns appropriate APC grouping according to diagnoses specified in the record by the treating provider(s) and in keeping with regulatory requirements. Abstracts relevant clinical and demographic information from the medical record. Overview Of Responsibilities Codes outpatient medical records for the purpose of quality planning and assessment, reimbursement, research and compliance with Federal regulations according to ICD-10-CM and CPT-4 classification systems. Accurately performs data entry/abstraction on all patients into the applicable computer system. Calculates the proper APC assignment. Assists providers with appropriate diagnosis determination as needed. Keeps current with...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Surgical Orthopedic Coder We are seeking an experienced Surgical Orthopedic Coder for a contract-to-hire opportunity. This position requires strong orthopedic surgical coding knowledge and the ability to confidently review and support coding decisions. Responsibilities Review and assign accurate ICD-10 and CPT codes for orthopedic services Code diagnostics, follow-up visits, procedures, and surgical services Review charts involving: Hip and shoulder joint replacements Neck and back surgeries Foot and ankle procedures Sports medicine Imaging and therapy services Telemedicine Maintain a minimum 95% coding accuracy Clearly explain and support coding decisions when needed Collaborate with team members and share orthopedic coding expertise Qualifications 3+ years of orthopedic/surgical coding experience Active CPC or CCS-P certification Strong knowledge of ICD-10 and CPT coding EPIC experience strongly preferred Strong communication skills and ability to...

Dallas, TX Durham, NC Minneapolis, MN Cincinnati, OH St Louis, MO Louisville, KY Orlando, FL Nashville, TN Indianapolis, IN San Antonio, TX Tampa, FL Houston, TX Richmond, VA Kansas City, MO Full time R1571870 Patient Support Medical Billing Representative Contract Remote Role – Location (Open to Remote US) At IQVIA, we are driven by a shared purpose: to improve patients’ lives through innovative healthcare solutions. As a global leader in commercial services, we bring life-changing therapies and support programs to the people who need them most. Our workplace is rooted in belonging, collaboration, and continuous improvement—where every team member is empowered to make an impact. As a Patient Support Medical Billing Representative , you’ll be part of a team that delivers meaningful assistance to patients through co-pay cards, vouchers, and claims support. We invest in your success with career development opportunities and a culture that...