58 jobs found in Hampton, VA

Become a part of our caring community Become a part of our caring community and help us put health first The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO-contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an IPA Consultative Coding Professional, we will assign you a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and ensure agreement on organizational documentation and coding standards, while...

Backend C2 Systems Full Stack Developer.As a full stack developer, you can resolve a problem with a complete end-to-end solution in a fast, agile environment.If you’re looking for the chance to not... Show more Part-time Part-Time Assistant Manager Level 2.At BoxLunch, we're committed using our love of pop culture to do something amazing: eliminate hunger.With every $10 spent, we donate a meal to Feeding America t... Show more $103,000.00 yearly Full-time Training Program Support - Senior.Amentum is seeking a Senior Training Program Support to support our U.Department of Energy and Counterintelligence (DOE-IN) contract.Positions will be based in Was... Show more $120,001.00 yearly Full-time PowerShell & WPF Application Developer.Hampton, VA in support of the Air Operations Center Weapons System (AOC WS) Falconer Program's Application Transformation (AppTX) team.A strong candidate ... Show more $85,389.00 yearly Full-time Quick Apply Syms Strategic Group (SSG)  is seeking a...

Humana Inc. in the United States is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and create education plans tailored to each assigned provider. You will arrange educational sessions, analyze coding quality trends with data visualization, prepare reports, provide on-site education, and collaborate with market provider-facing teams. 40 hours per week; travel up to 5% to provider offices. Work from home option available. #J-18808-Ljbffr

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor education plans for each assigned provider. You will report to the Manager, Medicare Risk Adjustment. The role involves arranging educational sessions, analyzing coding quality trends, and delivering data-driven training across providers. Travel up to 5% is required; work from home with flexible scheduling. #J-18808-Ljbffr

Become a part of our caring community Become a part of our caring community and help us put health first The IPA Consultative Coding Professional provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates nationwide. These affiliates include MSO-contracted independent providers. You will be the primary coding and documentation resource for assigned providers, supporting accuracy, compliance, and performance in risk adjustment and value-based care initiatives. You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an IPA Consultative Coding Professional, we will assign you a panel of up to 30 providers within a defined market or region. You will deliver ongoing education, support coding workflows, and ensure agreement on organizational documentation and coding standards, while...

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor an education plan for each provider. The role reports to the Manager, Medicare Risk Adjustment, and includes travel for on-site sessions. You will arrange training for providers, analyze coding quality trends with data visualization, and collaborate with market provider-facing teams to boost documentation accuracy and risk adjustment outcomes. #J-18808-Ljbffr

Riverside Health System in Newport News, Virginia is seeking a qualified Medical Coding Specialist to assign ICD-10-CM and CPT codes for a variety of records. You will review charts, query for clarification, and ensure billing readiness across payer requirements. The ideal candidate has 1 year ICD-10-CM/CPT coding experience and CPC or COC certification upon hire. Remote work eligibility is available for several states, including VA, with collaboration across the coding team. #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...

Sentara is seeking a Compliance Coding Auditor to perform physician education, internal auditing, coder education, and manage AR queries within a compliant coding framework. The role requires expertise in CCI, NCD, HCC, and MPFS, with a focus on RVU impacts for NPP services and PBB locations. Ideal candidates will have CPC or CCS, 4+ years in multi-specialty and acute care outpatient coding, and prior experience with professional fee coding, contributing to Sentara's mission-driven compliance #J-18808-Ljbffr

Medical Billing Specialist We are seeking a detail-oriented *Medical Biller* to support revenue cycle operations by managing billing and denial work queues within Epic. This position is responsible for researching and resolving insurance claim denials, making appropriate claim corrections, obtaining necessary documentation, and ensuring timely claim resubmissions. The ideal candidate will have experience working insurance denial work queues, a strong understanding of payer guidelines, and the ability to work independently in a high-volume healthcare environment. *Key Responsibilities* * Work assigned denial and billing work queues daily. * Investigate insurance claim denials and determine appropriate resolution steps. * Obtain supporting clinical documentation when required for claim correction and resubmission. * Apply claim corrections, including modifiers when appropriate. * Resubmit denied claims and monitor claim status through resolution. * Review outstanding billing...

Occupational Therapy Assistant - Maryview Medical Center Job Summary: The Occupational Therapist Assistant provides patient treatment under the supervision of a licensed Occupational Therapist. Documents patient treatment and progress toward goals in the patient electronic health record. Implements established treatment programs and provides patient and family education. This may involve outpatients, inpatients, pediatrics and off-site locations. Services the patients as a part of the entire continuum of professional care.?? Essential Functions: Provides age-appropriate therapeutic interventions as directed by the Occupational Therapist and monitors response to treatment. Maintains accurate and concise records on treatment provided and patient's progress.? Observes and reports patients' responses to treatment and progress and reports orally and/or in writing to the Occupational Therapist.??? Collaborates with Occupational Therapist and other...

​ **Bon Secours** **About Us** As 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. **House Supervisor** **- Maryview Medical Center** **Job Summary:** The Facility Nursing Supervisor is responsible for maintaining continuity of patient care in the absence of the unit nurse managers/directors in all areas of the hospital. **Essential Functions:** + Supervises and coordinates activities of hospital personnel to maintain the continuity of a safe and efficient standard of care. + Makes patient care assignments according to staff ability and patient needs....

Bon Secours Nursing Leadership Opportunity As 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. Job Summary: Assists with supervising and coordinating the administrative and operational activities in the assigned areas. Collaborates with interprofessional team to ensure safe and effective care delivery while promoting a culture of excellence. Essential Functions: Leads a team of nurses and clinical support. Supports managers/directors on larger units. Performs managerial responsibilities 80% of time; works on ground support for frontline staff and...

Occupational Therapy Assistant Maryview Medical Center The Occupational Therapist Assistant provides patient treatment under the supervision of a licensed Occupational Therapist. Documents patient treatment and progress toward goals in the patient electronic health record. Implements established treatment programs and provides patient and family education. This may involve outpatients, inpatients, pediatrics and off-site locations. Services the patients as a part of the entire continuum of professional care. Essential Functions: Provides age-appropriate therapeutic interventions as directed by the Occupational Therapist and monitors response to treatment. Maintains accurate and concise records on treatment provided and patient's progress. Observes and reports patients' responses to treatment and progress and reports orally and/or in writing to the Occupational Therapist. Collaborates with Occupational Therapist and other health team members to exchange and discuss...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines.  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties. Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient accounts across the system,...

Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 40 Work Shift: Days/Afternoons (United States of America) Bon Secours As 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. 910P00NE - Occupational Therapist (Non exempt) - Maryview Medical Center Job Summary: The Occupational Therapist plays a crucial role in enhancing patients' ability to perform daily tasks related to work and life. They conduct assessments, devise treatment plans based on physician referrals, and document patient progress. This encompasses...

Thank you for considering a career at Bon Secours! Scheduled Weekly Hours: 0.01 Work Shift: Days/Afternoons (United States of America) Occupational Therapy Assistant - Maryview Medical Center Job Summary: The Occupational Therapist Assistant provides patient treatment under the supervision of a licensed Occupational Therapist. Documents patient treatment and progress toward goals in the patient electronic health record. Implements established treatment programs and provides patient and family education. This may involve outpatients, inpatients, pediatrics and off-site locations. Services the patients as a part of the entire continuum of professional care. Essential Functions: Provides age-appropriate therapeutic interventions as directed by the Occupational Therapist and monitors response to treatment. Maintains accurate and concise records on treatment provided and patient's progress. Observes and reports patients' responses to...

Ensure SEARHC meets federal and state regulations and internal policies in regard to healthcare coding, documentation, and billing practices. Review health records to verify coding and clinical docu… Full-time Farmington Hills, Michigan, United States. Under the direction of the Director of Compliance Audit, the Compliance Auditor is responsible for designing, planning, and executing internal compliance a… Full-time Join Endeavor as a detail-driven Compliance Auditor! The Compliance Auditor functions as staff to the Corporate Compliance Officer (CO) and serves as an in-house subject matter expert with respect … Full-time We are searching for a Medical Compliance Auditor – someone who works well in a fast-paced setting. In this position, you will review and approve or deny medical claim appeals and perform clinical a… Full-time When you're the best, we're the best. We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and...

Chesapeake Regional Healthcare is seeking a Senior Coding Specialist to accurately assign and sequence ICD diagnostic and procedural codes for healthcare records. The role involves ensuring coding compliance, maintaining accuracy, and collaborating with medical staff. This position requires completion of an accredited coding program and four years of coding experience in an acute hospital setting. Required certifications include RHIA or RHIT and CCS or CIC. #J-18808-Ljbffr

Chesapeake Regional Healthcare in Chesapeake, Virginia, is seeking a skilled Medical Coder to manage coding and billing processes effectively. The ideal candidate will possess a Certified Professional Coder Certificate and have experience in healthcare billing and coding. This role includes updating fee schedules, assigning correct codes for claims, and ensuring compliance with regulations. Strong organizational and communication skills are vital for success. Join us to make a significant impact in patient care. #J-18808-Ljbffr

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Medical Biller/ Accounts Receivable Specialist Schedule: Monday - Friday 8am-4:30pm Responsible for timely and accurate follow-up on unpaid and denied insurance claims to ensure maximum reimbursement. The ideal candidate is detail-oriented, analytical, and proactive in resolving claim issues while identifying trends to prevent future denials. Day-to-Day Responsibilities Manage daily workloads through EPIC work queues and ATB reports to efficiently resolve aging accounts. Prioritize accounts based on claim age and outstanding balance, focusing first on high-dollar and oldest receivables. Review account activity to assess payment status, identify denials, and determine appropriate follow-up actions. Investigate and resolve insurance denials by researching root causes and implementing corrective measures. Request and coordinate medical records as needed, collaborating with the Medical Records team and uploading supporting documentation to payer...

Position Summary The Compliance Auditor plans, schedules, and performs comprehensive internal professional fee audits to include routine audits, focused audits, for cause audits and, not for cause audits for Chesapeake Regional Healthcare (CRH) and all of its affiliated entities. Performs detection of documentation, coding, and billing errors as well as collaboration with appropriate stakeholders to ensure corrective action and/or appropriate response to identified issues. Communicates audit results to providers, coders, management, and other appropriate staff. Develops and delivers provider and coder education. Evaluates the effectiveness of internal controls designed to ensure that processes and practices lead to regulatory compliance with guidelines related to professional fee documentation, coding, and billing. Stays abreast of documentation, coding, and billing regulations and standards and serves as a subject matter expert on the interpretation and application of...

CenterWell Senior Primary Care is seeking an IPA Consultative Coding Professional to provide coding expertise and support to independent providers. The role involves collaborating with clinicians to ensure accurate diagnostic coding and compliance, while delivering education based on trends and best practices. The ideal candidate will have over 3 years of experience in risk adjustment medical coding and must hold a valid certification. A hybrid work model is offered, with a requirement to be located within 50 miles of Chesapeake, Virginia. #J-18808-Ljbffr