23 jobs found in Virginia Beach

DaMar Staffing is seeking a Medical Coding Specialist I to join our team in a hybrid role near Sentara Virginia Beach area. The position requires strong understanding of CPT, ICD-10, HCPCS, and modifiers, with at least 3 years of multi-specialty coding experience and CCS/CPC certification. The candidate will perform coding, charge entry, insurance adjudication, and support administrative tasks one day per week in the office, ensuring accurate denials management and compliant billing. #J-18808-Ljbffr

Job Title Risk Coder Location Virginia Beach, VA Work Shift First (Days) Job Description Performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical Condition Categories (HCC). Supports risk adjustment data validation (RADV), medical record retrieval, vendor coding audits, provider engagement, & all risk adjustment ICD-10-CM coding-related activities. Conducts annual risk assessments, training, monitoring, & auditing, control assessment, reporting, investigation, root cause analysis, and corrective action oversight. Performs vendor quality...

Commence is seeking a part-time Coding Specialist to support clinical documentation reviews and coding audits. The role involves remote and office work with healthcare data, ensuring accuracy and compliance while communicating findings clearly to hospitals and clients. Ideal candidates have 2+ years in outpatient coding/audit roles, familiarity with ICD-10-CM/PCS, CPT/HCPCS, and DRG/APRDRG, and a Bachelor’s degree with relevant licensure or credentials such as RHIA/RHIT/CCS. #J-18808-Ljbffr

Sentara Health is seeking a Risk Coder to perform compliance activities focused on CMS and HHS risk adjustment. You will review provider coding, support RADV audits, and ensure accurate ICD-10-CM coding to capture appropriate HCCs. The role requires an associate degree or equivalent coding experience, proficiency in ICD-10-CM, and CRC certification within two years. Experience with CMS/HHS RADV is preferred. #J-18808-Ljbffr

Sentara Health in Virginia Beach seeks a Medical Coding Specialist I to accurately code CPT, ICD-10 and HCPCS for diverse encounters, ensuring correct charge entry and billing. This hybrid role requires one day in the office weekly for denials work; candidates should be near Sentara Rockingham Memorial or Sentara Martha Jefferson Hospital Charlottesville. Competitive benefits and opportunities for professional certification support. #J-18808-Ljbffr

Tidewater Physicians for Women is seeking an experienced and certified OB/GYN medical biller. We offer a competitive salary and excellent benefits. QUALIFICATIONS: Experience in medical billing for an OB/GYN medical practice is required. Experience with medical coding systems (ICD-10, ICD-9) is required. Proficiency in using medical office systems and software for billing purposes. Strong attention to detail and organizational skills are required. Knowledge of billing procedures of Medicare, Medicaid, and private insurers and understanding of financial billing requirements. Knowledge of organization structure, workflow and operating procedures within a high-volume medical billing environment. Knowledge of Federal, State and payer regulations regarding medical billing compliance. Knowledge of mainframe-based medical billing and editing systems. Skill in keyboarding and knowledge of Microsoft Office programs. Skill in establishing and maintaining effective interpersonal...

City/State Virginia Beach, VA Work Shift First (Days) Overview: Medical Coding Specialist I Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreements, payment posting, statements and collections. This is a HYBRID position–one day per week office time is required to fulfill administrative tasks for Coding Denials work. Candidate must be close to either Sentara Rockingham Memorial Hospital or Sentara Martha Jefferson Hospital Charlottesville Required: minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD-10), Heath Care Common Procedure Coding System (HCPCS) and Modifier Coding preferred. CCS or CPC required Education High School Diploma or equivalent Certification/Licensure CCS or CPC Coding Certification (Required) Experience minimum of 3 years of multi-specialty coding experience with...

Sentara Health in Virginia Beach seeks a Medical Coding Specialist I to accurately code CPT, ICD-10 and HCPCS for diverse encounters, ensuring correct charge entry and billing. This hybrid role requires one day in the office weekly for denials work; candidates should be near Sentara Rockingham Memorial or Sentara Martha Jefferson Hospital Charlottesville. Competitive benefits and opportunities for professional certification support. #J-18808-Ljbffr

City/State Virginia Beach, VA Work Shift First (Days) Overview: Medical Coding Specialist I Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreements, payment posting, statements and collections. This is a HYBRID position–one day per week office time is required to fulfill administrative tasks for Coding Denials work. Candidate must be close to either Sentara Rockingham Memorial Hospital or Sentara Martha Jefferson Hospital Charlottesville Required: minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD-10), Heath Care Common Procedure Coding System (HCPCS) and Modifier Coding preferred. CCS or CPC required Education High School Diploma or equivalent Certification/Licensure CCS or CPC Coding Certification (Required) Experience minimum of 3 years of multi-specialty coding...

Location: Virginia Beach, Virginia, United StatesCompany: Sentara HealthcarePosted: 2026-09-15Location: Virginia Beach, Virginia, United StatesCompany: Sentara HealthcarePosted: 2026-09-13Location: Virginia Beach, Virginia, United StatesCompany: Sentara HealthcarePosted: 2026-09-12Location: Virginia Beach, Virginia, United StatesCompany: Sentara HealthcarePosted: 2026-09-09Location: Virginia Beach, Virginia, United StatesCompany: Sentara HealthcarePosted: 2026-09-07Location: Virginia Beach, Virginia, United StatesCompany: Sentara HealthcarePosted: 2026-09-04Location: Virginia Beach, Virginia, United StatesCompany: Sentara HealthPosted: 2026-09-01Sentara Health in Virginia Beach, VA is seeking a Medical Coding Specialist II to perform accurate and compliant coding across multiple specialties, supporting revenue cycle operations and ensuring timely, accurate billing.The ideal candidate has at least 5 years of coding experience, CPC or CCS certification, familiarity with Epic, GECB,...

Sentara Health Plans in Virginia Beach, VA is seeking a Risk Adjustment Coder to perform compliance activities related to CMS/HHS risk adjustment and RADV audits. You will review professional and facility coding to ensure accurate HCC capture and support vendor and internal audits. The role requires an Associate degree or 4 years of coding experience, knowledge of ICD-10-CM guidelines, and CRC certification within two years. #J-18808-Ljbffr

## Risk Adjustment CoderApplyremote type: Hybridlocations: SMG Administrationtime type: Full timeposted on: Posted Todayjob requisition id: JR-103351**City/State**Virginia Beach, VA**Work Shift**First (Days)**Overview:**# **Overview**Performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical Condition Categories (HCC). Supports risk adjustment data validation (RADV), medical record retrieval, vendor coding audits, provider engagement, & all risk adjustment ICD-10-CM coding-related activities. Conducts annual risk assessments,...

Become a part of our caring community We are looking for a consultative coding professional to provide medical coding expertise and support to IPA affiliates nationwide. The IPA Consultative Coding Professional will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value‑based care initiatives. They will analyze trends, triage, answer questions in real‑time, research and interpret coding guidelines, and respond to inquiries and issues. Assignment will include a panel of up to 30 providers within a defined market or region. The professional will deliver ongoing education, support coding workflows, and ensure agreement on documentation and coding standards, while collaborating with STARS leaders and champions to identify gaps and deficiencies. They will support IPA‑affiliated clinicians—physicians and advanced practice providers—to ensure documentation supports accurate diagnostic coding...

Medical Coding Specialist I Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreements, payment posting, statements and collections. This is a HYBRID position--one day per week office time is required to fulfill administrative tasks for Coding Denials work. Candidate must be close to either Sentara Rockingham Memorial Hospital or Sentara Martha Jefferson Hospital Charlottesville. Required: minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD-10), Health Care Common Procedure Coding System (HCPCS) and Modifier Coding preferred. CCS or CPC required Education High School Diploma or equivalent Certification/Licensure CCS or CPC Coding Certification (Required) Experience minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology...

Medical Coding Specialist I Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreements, payment posting, statements and collections. This is a HYBRID position--one day per week office time is required to fulfill administrative tasks for Coding Denials work. Candidate must be close to either Sentara Rockingham Memorial Hospital or Sentara Martha Jefferson Hospital Charlottesville. Required: minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD-10), Health Care Common Procedure Coding System (HCPCS) and Modifier Coding preferred. CCS or CPC required Education High School Diploma or equivalent Certification/Licensure CCS or CPC Coding Certification (Required) Experience minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology...

Medical Coding Specialist I Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreements, payment posting, statements and collections. This is a HYBRID position--one day per week office time is required to fulfill administrative tasks for Coding Denials work. Candidate must be close to either Sentara Rockingham Memorial Hospital or Sentara Martha Jefferson Hospital Charlottesville Required: minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD-10), Heath Care Common Procedure Coding System (HCPCS) and Modifier Coding preferred. CCS or CPC required Education High School Diploma or equivalent Certification/Licensure CCS or CPC Coding Certification (Required) Experience minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology...

Coding Specialist (Part-Time)At Commence, we're the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient processes to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.The Coder Reviewer position is responsible for supporting and conducting reviews and determinations for independent dispute resolutions at both the Federal and State levels. Subject matter expert in clinical...

Certified CoderAt Commence, we're the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient processes to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.The Certified Coder performs coding-focused medical review of Medicare Part A/B and DMEPOS claims for the program. Certified coders apply Medicare policies and guidelines, ensuring claims are evaluated according to National and Local...

Risk Adjustment CoderSentara Medical Group is now hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA!Hours: Monday - Friday, 8:00AM -5:00PM, dayshift.This is a hybrid position that offers a combination of remote and onsite work, with a requirement to be in the office one to two days each week. The role also includes travel as needed to support business objectives and team collaboration.Performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical Condition Categories (HCC). Supports risk adjustment data validation (RADV), medical...

Commence is seeking a seasoned Medical Coder to perform remote, coding-focused reviews of Medicare Part A/B and DMEPOS claims. You will verify ICD-10-CM/PCS, CPT/HCPCS codes, and DRG/APR-DRG assignments, ensuring accuracy and adherence to CMS rules. Strong documentation and HIPAA compliance are essential. The ideal candidate has 3+ years in medical coding within healthcare, active AAPC/AHIMA certification, and the ability to research and apply coding guidance in a remote queue environment. #J-18808-Ljbffr