40 jobs found in Virginia

Responsibilities Follows established protocols, selects and reviews a percentage of records to assess coding documentation, billing and/or reimbursement practices for compliance with all regulations for federal and state agencies, third-party payers, and organization policy. Communicates audit progress and findings by preparing reports and providing information to the Compliance Officer, Chief Medical Officer, and Chief Quality Officer as applicable. Investigates, evaluates, and identifies opportunities for improvement, recognizes their relative significance in the overall system, and provides guidance to departments regarding internal controls. Develops and maintains professional skills and knowledge through attendance at relevant conferences, seminars, and other educational programs, participation in professional organizations, and review of current literature. Conducts billing and coding training, including provider training, as they relate to billing, coding, and...

OrthoVirginia Inc is seeking a Medical Auditor (Billing & Coding) to audit coding and documentation for providers and educate clinicians on documentation requirements and billing compliance. The role works under the Billing & Coding Compliance Manager with travel to regional offices. The successful candidate will review audits, prepare reports, and stay current with E/M guidelines while supporting the organization’s compliance program. #J-18808-Ljbffr

At OrthoVirginia, you're part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia's largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment. With more than 159 physicians in over 35 locations - including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads - OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive. Join us and become part of a trusted network committed to excellence in orthopedic care. Medical Auditor (Billing & Coding) Responsible for conducting coding and documentation audits for assigned providers and consulting and educating providers on documentation requirements and other compliance issues related to...

Get started on an exciting career in health information management. We’re with you every step of the way. Starts out onsite, then transitions to REMOTE 4 days/week. Job Summary: Required Services provide single path medical coding services and related medical records functions. Single path coding combines facility coding and professional coding and allows one coder to code facility and professional codes for the same patient utilizing a single coding platform. perform technically complex professional services coding for medical conditions and assign the correct International Classification of Diseases, ICD-10-CM, Procedure Coding System (PCS) Current Procedural Terminology (CPT), Health Care Financing Administration Common Procedure Coding System (HCPCS), and Evaluation and Management (E&M) codes for diagnosis, acuity of care and procedures for a wide range of medical specialties to include coding of complicated cases identified as difficult to classify such as treatment of...

UVA Health in Virginia is seeking qualified medical coders to support patient care billing and revenue integrity. The role emphasizes accurate diagnosis and procedure coding, claims processing, and financial counseling to optimize reimbursement. Ideal candidates have a high school diploma or GED and at least 2 years of coding experience. Certification requirements vary by requisition; please refer to the job posting for details. #J-18808-Ljbffr

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

A healthcare coding company is seeking a skilled medical coder to handle complex coding tasks for diverse medical specialties. This position starts on-site and transitions to remote work four days a week. The ideal candidate will have an associate's degree in Health Information Management or related field and recognized coding certifications. Responsibilities include accurate coding, reviewing documentation for errors, and educating clinical staff to ensure coding compliance. Excellent attention to detail and communication skills are essential to succeed in this role. #J-18808-Ljbffr

This is a remote based position. Applicants can be located nationwide Back Medical Billing Specialist II #2878 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are someone who has a strong understanding of medical billing processes, payer guidelines, and attention to detail. We need someone who can ensure proper claim details, billing compliance, and timely claims resolution to support the organization's financial goals. In the role of Medical Billing Specialist II, you will be responsible for accurately preparing and submitting medical claims to appropriate payers. Tell us about your experience with Medical Billing or in Revenue Cycle Operations. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you?...

This is a remote based position. Applicants can be located nationwide Back Outpatient Coding Auditor #2814 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced...

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...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

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 (CPT), International...

Sentara Health is seeking a Medical Coding Specialist II in Virginia Beach to perform accurate and compliant coding across multiple specialties. The role supports the revenue cycle from coding to collections and requires strong attention to regulatory guidelines. The ideal candidate has CPC or CCS certification, at least 5 years of coding experience, and familiarity with Epic, GECB, or Allscripts. The base pay ranges with additional incentives based on performance and shift differentials. #J-18808-Ljbffr

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...

City/StateVirginia Beach, VAWork ShiftFirst (Days)Overview:OverviewThe Medical Coding Specialist II is responsible for performing accurate and compliant coding activities while supporting revenue cycle operations across multiple specialties. This role requires a comprehensive understanding of the entire billing cycle, including medical terminology, coding principles, charge entry, insurance adjudication, contractual agreements, payment posting, statements, and collections. The ideal candidate demonstrates strong analytical skills, coding accuracy, and attention to detail while ensuring compliance with regulatory guidelines and organizational standards. This role collaborates closely with providers, clinical teams, and revenue cycle partners to support operational excellence, optimize reimbursement, and maintain coding integrity across healthcare services.EducationHigh School Diploma or Equivalent (Required)Certification/LicensureCertified Professional Coder (CPC) or Certified...

Medical Coding Specialist II Location: Virginia Beach, VA Work Shift: First (Days) Overview: The Medical Coding Specialist II is responsible for performing accurate and compliant coding activities while supporting revenue cycle operations across multiple specialties. This role requires a comprehensive understanding of the entire billing cycle, including medical terminology, coding principles, charge entry, insurance adjudication, contractual agreements, payment posting, statements, and collections. The ideal candidate demonstrates strong analytical skills, coding accuracy, and attention to detail while ensuring compliance with regulatory guidelines and organizational standards. This role collaborates closely with providers, clinical teams, and revenue cycle partners to support operational excellence, optimize reimbursement, and maintain coding integrity across healthcare services. Education: High School Diploma or Equivalent (Required) Certification/Licensure:...

Sentara 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, or Allscripts, and a strong grasp of the full revenue cycle from terminology to collections. #J-18808-Ljbffr

Signature Performance is seeking a remote-based Inpatient Professional Fee Medical Coder to join our team nationwide. You will review medical records, assign principal and secondary diagnoses and procedures, ensuring CPT/HCPCS/ICD-10 coding accuracy and compliance with guidelines. Requirements include at least 2 years of professional fee coding experience, AHIMA or AAPC certifications, and experience with EHR systems. #J-18808-Ljbffr

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 (CPT), International...