19 jobs found in Charlottesville, VA

Overview These jobs focus on managing the financial aspects of patient care, including billing, insurance claims, payment processing, financial counseling, utilization and revenue cycle analysis. These roles are responsible for translating patient diagnoses, treatments, and procedures into standardized medical codes. Medical coders ensure accurate coding to support billing processes, comply with regulations, and maintain the integrity of patient health records for reimbursement and reporting purposes. Individual contributors who provide support to an organization, often in direct service, operational, technical or administrative functions. Spends majority of time in the delivery of support services or activities, typically under supervision. Opportunities for progression outside this career stream are typically limited without additional education or significant training and experience. Fully competent and productive individual contributor. Works under moderate supervision....

The Rector & Visitors of the University of Virginia is looking for professionals to manage the financial aspects of patient care, including billing and insurance claims. Candidates are expected to have over 7 years of experience in medical coding. This role also supervises support-level employees and ensures adherence to policies and procedures. The position offers a competitive starting salary of $70,595.20 annually along with comprehensive benefits. #J-18808-Ljbffr

University of Virginia is seeking a dedicated professional to oversee the financial aspects of patient care, including billing, claims processing, and reimbursement analytics. The role also involves translating diagnoses and procedures into standardized medical codes to support accurate billing and compliant health records. As an individual contributor, you will support the organization under supervision, communicating complex information clearly and adapting processes as needed to maintain #J-18808-Ljbffr

The Rector & Visitors of the University of Virginia in Charlottesville is seeking a coding professional to manage the financial aspects of patient care, including billing, coding, and revenue cycle support. The role emphasizes translating diagnoses and procedures into standardized codes to support accurate billing and reporting, with a requirement of 2+ years of coding experience and a High School Diploma or GED. #J-18808-Ljbffr

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor education plans for assigned providers, reporting to the Manager, Medicare Risk Adjustment. Responsibilities include arranging educational sessions, identifying needs from reports, and preparing reports on coding quality trends using data visualization tools. The role involves on-site education, collaboration with market provider-facing teams, and data-driven interventions #J-18808-Ljbffr

Augusta Health in Fishersville, Virginia, is looking for a Coder II to manage health information coding responsibilities. This role requires following regulatory guidelines for ICD-10-CM, HCPCS, and CPT codes with an emphasis on accuracy and compliance. The position also involves generating queries and managing medical records. Augusta Health offers competitive pay, comprehensive benefits including medical coverage, retirement plans, and career development opportunities to support employees both personally and professionally. #J-18808-Ljbffr

Humana Inc. is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and craft education plans tailored to each assigned provider. The role reports to the Manager, Medicare Risk Adjustment. The position emphasizes on-site education sessions, data-driven reports, and collaboration with market provider-facing teams to enhance documentation quality, data integrity, and compliant coding practices across the enterprise. #J-18808-Ljbffr

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports. Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data‑driven educational materials and interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

OverviewVirginia Oncology Associates, the largest group of medical professionals in Hampton Roads and Northeast North Carolina devoted exclusively to cancer care and blood disorders, has an exciting opportunity for an Medical Secretary Supervisor for our practices across the Western Tidewater, Southside, and Peninsula regions! Please take this quick survey once you've submitted your resume to complete the application process: Medical Secretary Supervisor Survey If you have completed the survey before, even if for another position, please do not take it again ResponsibilitiesSupervise and coordinate all office functions for all practice medical secretarial staff to ensure smooth daily operations with patient flow, front office activities, office maintenance and patient concerns.Serve as a working supervisor, assisting with scheduling, coverage, and workflow optimization.Recruit, hire, train, and evaluate front office staff; manage performance goals and disciplinary actions.Provides...

Thank you for considering a career at Bon Secours!Scheduled Weekly Hours:40Work Shift:Days (United States of America)Bon SecoursAbout UsAs a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.Practice Supervisor - Richmond Cancer Institute Medical Oncology at St. Francis Medical CenterJob Summary:The Practice Supervisor will assist with overseeing the overall functioning of the practice including management of staff, workflow development, financial performance, provider and staff engagement. The position will support the Practice Administrator as it relates to...

Join Our Innovative Team:Change Lives Every Day!Are you a dedicated individual with an innovative and entrepreneurial mindset? We are looking for remarkable individuals like you to help us change lives”not just for our patients, but for our team members as well.At our organization, we stand apart from traditional primary care providers. As we rapidly expand, we invite you to bring your exceptional skills to our team as an Associate Director of Medical Affairs.In this pivotal role, you will supervise and train primary care providers (PCPs) at your assigned center, ensuring the best care and outcomes for our patients. You will be responsible for improving clinical quality, operational efficiency, and patient satisfaction while also spending part of your time delivering direct patient care as a PCP.Key Responsibilities:Provide comprehensive care for patients with acute and chronic illnesses, especially older adults.Take full accountability for patient...

City / State Norfolk, VA Work Shift First (Days) Overview :Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator / Certified Professional Coder (CPC) Remote! Status :Full-time, permanent position (40 hours) Work hours :8am to 5pm EST, M-F Location :This position is remote for candidates that live in the following states :VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY! With travel to Virginia Beach 1x a year.Job Responsibilities :Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products.Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits.Contribute to the review of reimbursement systems relating to health insurance claims...

Reviews claims in assigned work queues in Cerner Revenue Cycle including CMG Review and Ambulatory Edit failure work items.Analyzes coding edits, reviews timeline notes, reviews clinical documentation, including provider orders, progress notes, surgical and test results thoroughly to interpret and ensure documentation supports the posted charges.Determines appropriate action needed to resolve coding edits / issues and ensure clean claim submission.Performs coding functions, including Current Procedure Terminology (CPT), International Classification of Diseases, tenth revision, Clinical Modification (ICD-10-CM), documentation review, and claim denial review.Applies appropriate modifiers.Ensures charges / coding are in alignment with the American Medical Association (AMA),Medicare, and Commercial coding guidelines on all claims reviewed.Credits / updates charges and coding as needed.Ensures queues are worked timely and efficiently.Maintains Productivity and accuracy...

Job DescriptionThe Hospital Inpatient Coding Specialist reviews inpatient medical records and assigns International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) diagnosis and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) procedure codes that derives an All Patient Refined Diagnosis Related Group (APR-DRG) or Medical Severity Diagnosis Related Group (MS-DRG) for optimal reimbursement.The Hospital Inpatient Coding Specialist will work in collaboration with the Clinical Documentation Integrity Specialist at times to ensure accuracy consistent with Centra's coding policies.The Hospital Inpatient Coding Specialist will abstract pertinent information according to established guidelines for the organization and will formulate provider queries to clarify information.ResponsibilitiesAssigns diagnosis and procedure codes.Verifies accuracy of DRGAccurately abstracts required information.Initiates provider coding...

City / StateNorfolk, VAWork ShiftFirst (Days)Overview :Claims Resolution Coder- RemoteResponsible for reviewing medical documentation to assign modifiers to insurance claims with issues identified by the National Correct Coding Initiative (NCCI), Medicare Outpatient Code Editor (OCE),or other third party payer specific claims processing guidelines.Works with Coding, Billing and Reimbursement staff to resolve edits.Is additionally responsible for trending errors, supporting identification of root causes, and effective communication with coding and training staff to improve coding accuracy and clean claims processing.Researches regulations to ensure accuracy of CPT codes and documentation.Associates degree in Health Information Technology or Medical Billing preferred.2 years direct application of coding, medical billing or reimbursement in health care setting, hospital or physician office required.CPC or CCS coding certification required at time of hire.Thorough knowledge of lab,...

Position SummaryCodes inpatient accounts applying appropriate ICD-10-CM / ICD-10-PCS / CPT-4 codes for hospital reimbursement, mortality & morbidity outcomes, research & statistical and regulatory compliance.Abstracts, codes and assigns necessary demographic and clinical data elements required for inpatient records.Effectively utilizes encoder software to assure appropriate reimbursement and accurate DRG & MSDRG assignment.Completes all work in accordance with defined productivity and quality standards.As necessary, consults or queries the physician for additional information or clarification of diagnoses, co-morbid / secondary conditions, and procedures.Provides physicians education on coding, documentation and medical necessity requirements.Assures optimal ethical reimbursement for coded encounters and assures coding practices fall within established compliance guidelines.Uses concurrent documentation database to accurately reflect queries and updates to DRG...