45 jobs found in Richmond

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

divh2Medical Billing Specialist/h2pNeolytix is a boutique Consulting and Management Services Organization that works with small medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices./ppAt Neolytix, you will learn to hone your Consultative skills, develop drive leadership, balance work with family time and importantly have fun!/ppMedical Billing Specialist is responsible for posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner./ppResponsibilities include:/pulliWorking directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid./liliVerifying correct insurance filing information on behalf of the client and patient./liliVerifying receipt of all patient registration data from the client and notifying the client of potential coding...

Job Title Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.

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The Medical Call Center Supervisor provides front line staff supervision, coaching, and development including hiring and training new employees, assigning tasks, and assessing performance. Supervisors will motivate, support agents through feedback and communication, and monitor key performance metrics such as inbound/outbound calls/referrals, quality, scheduled appointments, and productivity. Essential Job Statements Provides direct line supervision for multiple staff members (15-25) including scheduling (inbound/outbound calling), referral management, performance evaluations, disciplinary action, time/attendance, coordination of staff activities, or other work as needed. Conducts hiring, interviewing, onboarding, and training of new employees. Manages learning of specialty skills to ensure staff members readiness to perform independently. Works to create a diverse and inclusive culture where all team members are supported and encouraged to maximize their skills,...

Associate Director, Medical Affairs Statistical Sciences Biometrics Ascendis Pharma is a dynamic, fast-growing global biopharmaceutical company with locations in Denmark, Europe, and the United States. Today, we're advancing programs in Endocrinology Rare Disease and Oncology. Here at Ascendis, we pride ourselves on exceptional science, visionary leadership, and skilled and passionate colleagues. Guided by our core values of Patients, Science, and Passion, we use our TransCon drug development platform to fulfill our mission of developing new and potentially best-in-class therapies to address unmet medical needs. Our culture fosters a place where skilled, adaptable, and highly resourceful professionals can truly make their mark. We offer a dynamic workplace for employees to grow and develop their skills. The Associate Director, Medical Affairs Statistical Sciences Biometrics provides technical and operational support for the design, implementation and interpretation of...

A healthcare service provider is seeking a Medical Coding Auditor to ensure accuracy in coding guidelines for medical claims. This remote position requires a minimum of 3 years of relevant experience and certification in coding. The role includes reviewing medical documentation, conducting audits, and maintaining strict confidentiality. Competitive benefits, including medical coverage and professional development opportunities, are provided. This is an excellent opportunity for detail-oriented candidates looking to contribute to a leading organization. #J-18808-Ljbffr

A healthcare services provider in Richmond, Virginia is seeking a dynamic Commercial Billing Specialist. This role entails the timely submission of claims to third-party payers, resolving billing issues, and managing documentation. Ideal candidates should have Microsoft Office skills, a focus on customer service, and preferably 1-3 years of medical billing experience. The company offers competitive compensation and rich benefits including medical plans and paid time off. #J-18808-Ljbffr

A healthcare services provider in Richmond, Virginia is seeking a Commercial Billing Specialist responsible for timely claims processing to third party payers. Candidates should have strong Microsoft Office skills, attention to detail, and preferably, 1-3 years of experience in healthcare billing. The role emphasizes accuracy in billing and handling claims-related issues, ensuring the smooth functioning of billing operations, and provides a competitive compensation package including medical and retirement benefits. #J-18808-Ljbffr

A large not-for-profit health organization is seeking a skilled Coder 2, proficient in outpatient and low acuity inpatient coding. Candidates should possess a high school diploma and at least 2 years of relevant experience. Holding a recognized coding certification is mandatory. The position requires communication with healthcare providers and collaboration with billing departments to ensure accurate coding of medical records. This role offers competitive pay based on experience, with a range of $26.66 - $40.00 per hour. #J-18808-Ljbffr

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not‑for‑profit healthcare system in Texas that empowers you to live well. Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Eligibility on day 1 for all benefits Dollar‑for‑dollar 401(k) match, up to 5% Debt‑free tuition assistance, offering access to many no‑cost and low‑cost degrees, certificates and more Immediate access to time off benefits At Baylor...

Join to apply for the Office Supervisor (Medical Office) role at Shady Grove Fertility . Enjoy what you do while contributing to a company that makes a difference in people’s lives. Shady Grove Fertility, one of the premier fertility centers in the United States, seeks experienced, compassionate, and dynamic team players who are committed to delivering exceptional patient care. The work we do building families offers stimulation, challenge, and personal reward. We have an immediate opening for a full‑time Office Supervisor to join our team in Stony Point, VA. Schedule is Monday – Friday, 7:30 AM – 4:00 PM with flexibility to support office needs from 6:45 AM – 5:30 PM. Occasional weekends and holidays may be required. How You'll Contribute Provides management and direction for the office in all areas of local operations including employee supervision, training and development, patient satisfaction, quality assurance, financial integrity of the assigned site, and facility...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

A leading healthcare data solutions provider seeks an Inpatient Auditing Specialist to conduct coding audits and provide education. This fully remote role requires over 5 years of experience in coding and auditing, with a focus on high DRG accuracy. Competitive pay and comprehensive benefits are offered, allowing individuals to work flexibly from home while contributing to improvements in healthcare data management. #J-18808-Ljbffr

A leading healthcare data platform company is seeking an Inpatient Auditing Specialist. This remote role requires 5+ years of inpatient coding experience and offers flexible scheduling. Responsibilities include performing coding audits, providing education, and maintaining a 95% DRG accuracy rate. Competitive pay is estimated between $35 - $45 hourly, alongside benefits. Ideal candidates will have CCS or similar certifications. #J-18808-Ljbffr

A leading healthcare organization in Richmond, Virginia is seeking an Acute Care Inpatient Coding Specialist to review hospital inpatient medical records and ensure accurate ICD-10-CM and ICD-10-PCS code assignments. The ideal candidate will have at least one year of experience in acute care hospital coding and preferably hold RHIA, RHIT, or CCS certification. This position offers a comprehensive benefits package and supports professional growth within a committed healthcare team. #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 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. Associate's 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 PCS, and CPT; experience with an encoder; knowledge of payer requirements related to...

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g., ICD‑10‑CM, CPT, HCPCS). The role requires interpretation and independent determination of the appropriate courses of action, contributing to overall cost reduction by increasing the accuracy of provider contract payments in our payer systems and ensuring correct claims payment for appropriate CPT/HCPCS code assignments. The Auditor analyzes, enters and manipulates database data, responds to or clarifies internal requests for medical information, understands departmental, segment and organizational strategy and operating objectives, and follows established guidelines and procedures while making decisions in ambiguous situations. Where you come in The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g.,...

Overview Be among the first 25 applicants. Enjoy what you do while contributing to a company that makes a difference in people’s lives. Shady Grove Fertility, one of the premier fertility centers in the United States, seeks experienced, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice. The work we do building families offers stimulation, challenge, and personal reward. We have an immediate opening for a full-time Office Supervisor to join our team in Stony Point, VA. The schedule is Monday - Friday from 7:30 AM - 4:00 PM with the ability to flex as needed to support office needs from 6:45 AM - 5:30 PM. Occasional weekends and holidays are required. What You'll Contribute We always do whatever it takes, even if it isn’t specifically our “job.” In general, the Office Supervisor is responsible for: Provides management and direction for the office in all areas of local operations including employee...

A leading health services company is seeking a DRG Coding Auditor Principal to audit inpatient medical records per DRG methodology. This role allows for maximum flexibility with primarily virtual work, requiring occasional in-person attendance. Key responsibilities include analyzing claims with advanced coding principles and generating insightful audit reports. Candidates should have extensive experience in claims auditing and certification as a Registered Health Information Administrator or similar credentials. This position offers a salary range of $119,760 to $206,586 and excellent benefits. #J-18808-Ljbffr

Anticipated End Date 2025-12-19 Position Title DRG Coding Auditor Principal Job Description DRG Coding Auditor Principal This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies. Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient...

About Otsuka We defy limitation, so that others can too. In going above and beyond—under any circumstances—for patients, families, providers, and for each other. It’s this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease and achieve more than they thought was possible each day. About the Role The Omnichannel Center of Excellence is dedicated to driving innovation, building, and delivering capabilities that enhance Otsuka’s opportunity to make an impact in the lives of those we serve. We achieve this through our relentless focus on customer centricity, patient empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. We are looking for an Omnichannel Data Scientist , Medical Omnichannel with strong expertise in artificial intelligence, encompassing machine...

A leading healthcare provider is looking for a Clinical Educator - Registered Nurse in Richmond, VA. This part-time position requires an RN license and clinical experience. Responsibilities include educating healthcare professionals on Pulse Oximetry Devices without patient care duties. Candidates need excellent communication and teaching skills. Flexible schedule with national travel involved. Pay ranges from $34.00 to $36.00 hourly, varying by experience. Apply now to be part of a forward-thinking team in healthcare education. #J-18808-Ljbffr

A leading global healthcare solutions provider is hiring a Registered Respiratory Therapist Clinical Educator in Richmond, VA, for a per-diem position requiring national travel. This role focuses on educating Registered Nurses and Physicians about Pulse Oximetry Devices without direct patient care. Candidates must hold a valid RRT License and have over three years of relevant experience. Flexibility in schedule and opportunities for growth in the medical device industry are offered, with hourly pay ranging from $33.00 to $35.00. #J-18808-Ljbffr