25 jobs found in Norfolk, VA

City/State Norfolk, VA Work Shift First (Days) Overview: Overview Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreements, payment posting, statements and collections. 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 Successful candidates must have at least 3 years' experience working coding denials. This position is correcting claims to assure correct coding was submitted. Education High School Diploma Certification/Licensure Certification CCS or CPC required Experience Must have at least 3 years working in coding Denials Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD-10), Heath Care Common Procedure Coding System (HCPCS) Modifier...

City/State Norfolk, VA Work Shift First (Days) Overview: Overview Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreement, payment posting, statements and collections. Coding Certification required, CPC or CCS. Multi-specialty coding experience and specialty coding certifications preferred. 5+ years coding experience required. Epic, GECB, or Allscripts experience preferred. This is a remote position, Monday through Friday, Day schedule ( 40 hours per week). Education High School Diploma (Required) Certification/Licensure Certification or License CPC or CCS (Required) https://www.myworkday.com/sentara/d/inst/15$75881/5075$1409.htmld Experience Coding Certification required, CPC or CCS. Multi-specialty coding experience and specialty coding certifications preferred. Inpatient and Hospital experience strongly preferred 5+ years coding...

Provider Auditor This position will work a hybrid model (remote and office), 1 time per week. The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. 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 Provider Auditor conducts on-site reviews of medical charts, medical notes, itemized bills and providers contracts to ensure that a claim is paid in accordance with the contract, provider reimbursement policies, and industry standards. How you will make an impact: Selects providers to be reviewed based on historical results of other reviews with providers, network management input and dollar volume of provider. Analyzes data to select claims to be reviewed, conducts reviews using medical charts, medical notes, and provider contracts. Verifies dollar amount on claim...

City/State Norfolk, VA Work Shift First (Days) Overview: Overview Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreement, payment posting, statements and collections. Coding Certification required, CPC or CCS. Multi-specialty coding experience and specialty coding certifications preferred. 5+ years coding experience required. Epic, GECB, or Allscripts experience preferred. This is a remote position, must be a resident of an authorized SWS State. Education High School Diploma Name of Degree (Required) Certification/Licensure Certification CPC or CCs certification (Required) Experience Coding Certification required, CPC or CCS. Multi-specialty coding experience and specialty coding certifications preferred. 5+ years coding experience required. Epic, GECB, or Allscripts experience preferred. Benefits: Caring For Your Family and Your Career •...

Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreements, payment posting, statements and collections . years of multi-specialty coding experience with Current Coding Specialist, Medical, Specialist, International, Healthcare

City/State Norfolk, VA Work Shift First (Days) Overview: Overview Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines. Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit (RVU) value related to Non-Physician Practitioner (NPP) services, Provider Based Billing (PBB) locations, and all other complex coding protocols within one year....

DRG CODING AUDITOR Location : This position will work virtually. Alternate locations may be considered. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician’s statement sent in by acute care hospitals on submitted DRG. How you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Utilizes audit tools and auditing workflow systems and reference information to make...

Medical Biller Location: Randolph, Massachusetts (Onsite) Overview A well-established healthcare practice is seeking a detail-oriented and highly organized Billing/Collection Specialist to join our team. This role is essential in managing billing operations, ensuring financial accuracy, and maintaining compliance with industry regulations. The ideal candidate is a proactive professional with a strong understanding of accounting principles and the ability to thrive in a fast-paced environment. Key Responsibilities Generate and process billing invoices for medical services on a daily, weekly, and monthly basis. Maintain and update patient records, ensuring accurate insurance and financial information. Manage payment arrangements for both current and past-due patient accounts. Work closely with the billing agency to address and resolve account discrepancies. Oversee monthly financial reporting, including reconciling daily deposits, credit card...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health is seeking to hire a qualified individual to join our team as a Inpatient Coder/Abstractor Position Status : Full-time, Day Shift Position Location: This position is remote . Remote opportunities available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming For applicants within Washington State, the following hiring range will be applied: $24.93 to $35.42 / hour. Standard Working Hours : 8:00AM to 5:00PM (ET). Position Summary: Codes inpatient accounts applying appropriate ICD-10-CM/ICD-10-PCS/CPT-4 codes for hospital reimbursement, mortality & morbidity outcomes, research & statistical...

Overview Responsible 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. Education High School Diploma or equivalent Associate Level Degree (Preferred) Certification/Licensure Coding CPC or CCS Certification (Required) Experience 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...

Overview Responsible 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. 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. Minimum Qualifications: Associates degree in Health Information Technology or Medical Billing preferred. 2 years direct application of coding, medical billing, or reimbursement in a healthcare setting, hospital or physician office required. CPC or CCS coding certification required at time of hire. Thorough knowledge of lab, radiology and other ancillary, CPT,...

Claims Resolution Coder/CPC/CCS- Remote Claims Resolution Coder/CPC/CCS- Remote Apply remote type Remote locations Sentara Patient Accounting time type Full time posted on Posted 6 Days Ago job requisition id JR-76872 City/State Norfolk, VA Work Shift First (Days) Overview: Responsible 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. Minimum Requirements: Associates degree in Health Information Technology or Medical...

We are currently looking for individuals to fulfill Part-Time and Full-Time Medical Biller positions. No experience is required to apply for the position. Training is provided through former experienced employees and available to hired applicants. We are looking for individuals able to carry out various tasks. Individuals must be hardworking and task-oriented. Don't Wait! Fill out a Profile Now! MyJobResource is a staffing and recruitment industry job search engine. We specialize in finding the exact company to suit your needs. We help match job seekers to the right jobs in either full-time or temporary positions. Assignments are typically made depending on the ratio of candidates to jobs, skill-set, and experience. The companies we work with pay us for the services we provide to find the right people for their job openings.

Thank you for considering a career at Bon Secours! S cheduled Weekly Hours: 24 Work Shift: Nights (United States of America) **Sign on bonus eligible** Position Summary The Administrative Supervisor demonstrates effective leadership for the hospital on the off shifts, weekends and holidays. He/she functions as the administrative representative during these times. Serves as a role model for clinical and professional practice. Acts as an independent, self-directed professional with demonstrated abilities in interpersonal skills, critical thinking and problem resolution. Promotes teamwork with all departments. Demonstrates a strong customer driven approach. Integrates the Mission and Values into decisions. Participates as a team member by performing additional assignments not directly related to the job description when workload requires. Continually seeks opportunities for professional development. Job Requirements Graduate of an accredited school of...

Medical Coder III ID 2025-23888 Category Administrative - Coding Specialist Facility DOD / MTF - Virginia - Portsmouth Naval Medical Center Job Description Spectrum Healthcare Resources has potential opportunities for a Medical Coder III Specialist at Portsmouth Naval Medical Center in Portsmouth, Virginia. Full-time opportunities, 40 hours per week (Monday-Friday) NO NIGHTS/ WEEKENDS Working as a US civilian contractor employee at Naval Medical Center Great work life balance Full complement of benefits to include medical, dental and vision insurance, 401k, paid holidays, paid time off and more! Job Requirements: The Position will have the following requirements: Bachelor's degree in a health-related field with a minimum of 5 years clinical experience including but not limited to; acute patient care, health services, public health, long-term care administration, hospital organization and management, strategic planning and health systems. Two years in the last five years...

Overview: Avosys is a growing integrator of professional, technological and management solutions services. Founded in 1998, Avosys provides services nationwide to Federal, Commercial, Local and State clients. We recognize the foundation of our firm is our people and we continue to rise above our competition by hiring the best. Is it your calling to serve our Nations Heroes? Avosys is seeking an Inpatient Medical Coder Remote to provide services to the military at Naval Medical Center Portsmouth, VA. Maximize family time with no weekend, Holiday, or on-call requirements Maintain work-life balance with guaranteed 8-hour shifts Take advantage of our competitive, comprehensive benefits package including medical, dental, vision, life, short-term disability, long-term disability & 401(k) Responsibilities: Accurately assigns diagnosis and procedure codes for facility and professional services for Ambulatory Procedure Visit (APV), Dental surgical procedures,...

Bayview Physicians Group is a rapidly growing outpatient multi-specialty medical group, that strongly believes the doctor-patient relationship is the cornerstone of quality healthcare. We staff more than 600 positions in the Hampton Roads area. Individuals who possess excellent customer service skills, strong collegial relationships, and the desire to promote a positive work environment are encouraged to apply. We offer a competitive benefits package to our full time employees and we are always accepting applications from qualified candidates. Duties & Responsibilities: Track claims with insurance companies. Active follow up with insurance companies for outstanding unpaid claims. Work unpaid claims and credit reports. Research and process rejected or suspended claims File appeals and documentation to insurance companies for payment reconsideration Audit patient accounts to determine when refund are due, as well as request refund Assist patients with...

Certified Professional Coder- Medical Billing Department (CPC/ CPC-A) Job Type Full-time Full Job Description Bayview Physicians Group is a rapidly growing outpatient multi-specialty medical group, that strongly believes the doctor-patient relationship is the cornerstone of quality healthcare. We staff more than 600 positions in the Hampton Roads area. Individuals who possess excellent customer service skills, strong collegial relationships, and the desire to promote a positive work environment are encouraged to apply. We offer a competitive benefits package to our full time employees and we are always accepting applications from qualified candidates. We are currently seeking a full-time CPC or CPC-A Certified Professional Coder. If you are an Apprentice you are also encouraged to apply. We can offer you the opportunity to work and grow as a coder for a large multi-specialty group. We are willing to train the right candidate. This will offer coders from all levels of...

Summary These positions are located in the Health Information Management (HIM) section at the Hampton VA Medical Center. The Medical Records Technician (Coder-Outpatient) is skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Federal employees - Competitive service Current federal employees whose agencies follow the U.S. Office of Personnel Management's hiring rules and pay scales. Federal employees - Excepted service Current federal employees whose agencies have their own hiring rules, pay scales and evaluation criteria. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from the agency Current federal employees, and the Public....

Sentara Health is seeking to hire a qualified individual to join our team as Risk Adjustment Coder. Position Status : Full-time, Day Shift Position Location: Hybrid work model – 1 day week on-site in Virginia Beach; initial onboarding & training will be in-office Standard Working Hours : 8:00AM to 5:00PM Overview This role consists of educating primary & specialty care providers and staff on appropriate HCC coding & documentation, via virtual sessions and in-person site visits. Duties include retrospective auditing to ensure compliance with appropriate HCC coding & documentation guidelines. Education Associate degree required in healthcare administration, nursing, health information management, accounting, finance, or other related field or In lieu of associate’s degree, 4 years of medical coding experience is required Certification/Licensure One of the following certifications are required: Certified Professional Coder (CPC), Certified Outpatient Coder (COC),...

City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara Health is seeking to hire a qualified individual to join our team as Risk Adjustment Coder . Position Details Position Status: Full-time, Day Shift Position Location: Hybrid work model - 1 day week on-site in Virginia Beach; initial onboarding & training will be in-office Standard Working Hours: 8:00AM to 5:00PM Role Overview This role involves educating primary & specialty care providers and staff on appropriate HCC coding & documentation through virtual sessions and in-person site visits. Responsibilities include retrospective auditing to ensure compliance with HCC coding & documentation guidelines. Education Requirements Associate degree required in healthcare administration, nursing, health information management, accounting, finance, or related field or 4 years of medical coding experience in lieu of an associate's degree Certification/Licensure Required certifications: CPC,...

We are currently looking for individuals to fulfill Part-Time and Full-Time Medical Biller positions. No experience is required to apply for the position. Training is provided through former experienced employees and available to hired applicants. We are looking for individuals able to carry out various tasks. Individuals must be hardworking and task-oriented. Don't Wait! Fill out a Profile Now! MyJobResource is a staffing and recruitment industry job search engine. We specialize in finding the exact company to suit your needs. We help match job seekers to the right jobs in either full-time or temporary positions. Assignments are typically made depending on the ratio of candidates to jobs, skill-set, and experience. The companies we work with pay us for the services we provide to find the right people for their job openings.

City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara Health is seeking to hire a qualified individual to join our team as Risk Adjustment Coder. Position Status : Full-time, Day Shift Position Location: Hybrid work model - 1 day week on-site in Virginia Beach; initial onboarding & training will be in-office Standard Working Hours : 8:00AM to 5:00PM Overview This role consists of educating primary & specialty care providers and staff on appropriate HCC coding & documentation, via virtual sessions and in-person site visits. Duties include retrospective auditing to ensure compliance with appropriate HCC coding & documentation guidelines. Education Associate degree required in healthcare administration, nursing, health information management, accounting, finance, or other related field or Iin lieu of associate's degree, 4 years of medical coding experience is required Certification/Licensure One of the following certifications are required:...

Thank you for considering a career at Bon Secours! S cheduled Weekly Hours: 40 Work Shift: Days (United States of America) Up to $20K Sign On Bonus Primary Function/General Purpose of Position Occupational Therapists are responsible for providing patients with treatment to help them develop and improve their ability to complete everyday tasks related to their job and daily life. They perform patient evaluations and re-evaluations, establish patient treatment plans based on the referral from the physician/referral source (if required), and document the patients' care and direct supportive staff regarding treatment process. This may involve outpatients, inpatients, pediatrics and off-site locations. Essential Job Functions Reviews physician referral, patient's condition and medical history to determine occupational therapy treatment needs. Performs and documents patient evaluation, re-evaluation and develops treatment and discharge plans per department policies and...