115 jobs found in Norfolk, VA

Pena4 Inc. is seeking an Inpatient Medical Coder (CCS) to handle IP/OP coding tasks remotely. The role requires at least 5 years of IP PCS coding experience and CCS certification, with familiarity in Cerner, PowerChart, 3M, and EPIC systems. A coding assessment will be part of the application process. Responsibilities include examining records, accurate sequencing, DRG optimization, and ongoing education to stay current with guidelines. Full-time weekday schedule with regular day shifts. #J-18808-Ljbffr

**Overview:**# Compliance Coding AuditorPerforms 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.All queries arising from the audit...

Actively hiring \"Certified Medical Coder (Remote) – Outpnt & ED\" at Remote for position at a hospital. pay rate is $36-$38/hour Certified Medical Coder (Remote) – Outpnt & ED Location: Remote 100% Duration: Extendable contract Pay Rate: $36-$38/hour Schedule Notes: Scheduled: 8:00 AM-4:00 PM. Candidate must be comfortable working one weekend (Saturday or Sunday). - 3 Years of outpatient coding and must have experience as Emergency room coder. We are seeking experienced Certified Medical Coders with strong outpatient acute care coding experience for a remote contract opportunity. Responsibilities Perform accurate outpatient, and ED medical coding Review and assign ICD-10, CPT-4, and related codes Ensure compliance with payer, federal, and coding guidelines Research and resolve coding-related issues Utilize EPIC and 3M/HDS coding applications effectively Required Qualifications CCS or RHIA, RHIT, CCP certification required Minimum 3 years of medical coding experience...

City/State Norfolk, VA Work Shift Multiple shifts available 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 travelto 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...

Pride-Health is actively hiring for a Certified Medical Coder (Remote) to support outpatient and ED coding for a hospital client. The role requires at least 3 years of outpatient coding experience and certification such as CCS, RHIA, RHIT or CCP. The position is remote on an extendable contract, with a pay rate of $36-$38 per hour. Responsibilities include assigning ICD-10 and CPT-4 codes, ensuring compliance with payer guidelines, and using EPIC and 3M/HDS coding systems. #J-18808-Ljbffr

Work Arrangement: Office or remote Reports to: Revenue Cycle Manager Role Type: Individual Contributor Compensation: $28.00 - $32.00 per hour FLSA Classification: Non-Exempt Lucas James Talent Partners is partnering with Phothera, a Madison Industries company, to identify a driven and proactive Medical Billing & Follow-Up Specialist to join their growing Revenue Cycle team. Phothera provides innovative in-home phototherapy solutions that help patients safely manage autoimmune skin conditions such as Psoriasis, Atopic Dermatitis, and Vitiligo. As the organization scales rapidly, they are investing in strengthening their revenue cycle infrastructure, including implementing a new RCM platform and building focused work queues to support a high-performing billing team. This is an opportunity to join during a pivotal growth phase and play a meaningful role in improving processes, accelerating cash flow, and driving operational excellence. The Opportunity This position is...

Sentara Health Plans is seeking a Compliance Coding Auditor to perform internal audits of ICD and CPT coding, educate coders, and liaise with external auditors. The role emphasizes mastery of CCI, NCD, and HCC policies, with attention to MPFS RVU impacts for NPP services, and remote work opportunities for candidates in Virginia or North Carolina. The position requires CPC or CCS certification, 4+ years of multi-specialty and acute care outpatient coding experience, and professional fee coding #J-18808-Ljbffr

We're looking for a Vibe Coder who builds with AI tools and isn't afraid to get into the code when a project requires it. You'll create agents on Agentplace, add custom functionality, and connect business tools through APIs. The practical part of our hiring process is Agent Games: Main Street Edition, a free online hackathon running December 4–7, 2026. Instead of a separate take-home assignment, you'll have 72 hours to build an AI agent for a real local business. About Agentplace Agentplace is a platform for building AI agents that answer customer questions, book appointments, handle support, and deliver services online. More than 3,000 agents have been built on the platform, and we were named Product of the Week on Product Hunt. We're a small, remote team. You'll build and test agents that businesses use to serve their customers. What you'll do Build and publish business agents on Agentplace, from the initial prompt to the finished product. Add custom...

ANTHEM INSURANCE COMPANIES INC is seeking a DRG Coding Auditor to audit inpatient medical records and generate high-quality recoverable claims across all lines of business. The role requires strong clinical review skills and mastery of DRG assignments via DRG, AP-DRG, and APR-DRG methodologies. The auditor will apply ICD-10 coding principles, clinical guidelines, and audit tools to support accurate coding and documentation while identifying opportunities for additional recoveries. #J-18808-Ljbffr

DRG Coding Auditor - MS-DRG and APR-DRG Sign On Bonus: $1,500 Virtual: 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 if candidates reside within a commuting distance from an office. 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. 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...

Posterity Group LLC is a veteran owned, service-disabled small business, headquartered in Rockville, MD, that specializes in federal government contracting and staffing. We are tasked with staffing The Richard L. Roudebush VA Medical Center with Medical Coders. The Medical Coder is expected to do the following: Accurately attaching images to the appropriate electronic health record elements. Verifying that images are uploaded correctly and are legible for viewing. Locating Financial Identification Numbers (FINs) and accurately linking documents to the correct veteran record. Indexing documents within the correct section, note title, date of service, and visit location. Performing 100% internal QA on all work before submission. Requirements Knowledge and understanding of medical clinics and clinical documentation. Ability to locate Financial Identification Numbers (FINs) and accurately link documents to the correct veteran record in Cerner/Oracle. Ability to index documents within...

Compliance Coding AuditorPerforms 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.All queries arising from the audit process are managed...

Virginia Oncology Associates in Norfolk seeks a Laboratory Supervisor to manage day-to-day lab operations and personnel. You will supervise testing, ensure quality control, and maintain compliance with safety and regulatory standards. The role requires an Associate in Medical Technology (Bachelor’s preferred), five years of lab testing experience, and ASCP or equivalent certification. In-person, full-time position with comprehensive benefits. #J-18808-Ljbffr

Virginia Oncology Associates in Norfolk seeks a Laboratory Supervisor to lead the hospital's lab operations. In-person full-time role overseeing testing, QA, and personnel, with emphasis on compliance and cost management. The position requires 5+ years in laboratory testing, a Medical Technology degree (ASCP or equivalent), and state licensure if needed. Competitive pay and comprehensive benefits are offered. #J-18808-Ljbffr

Monday - Friday 8 AM to 4:30 PM GENERAL SUMMARY Under general supervision, the Hospital Medical Coder II is responsible for the collection of relevant, pertinent, accurate and timely profile data configured and/or abstracted from the hospital's outpatient, observation, day surgery, urgent care and emergency records moving from the least complex to the most complex. This position maybe responsible for coding inpatient records as needed/requested by management; this includes effective use of relevant coding systems as well as recognizing what data can be abstracted, presented and interpreted for effective use throughout the hospital network. Reports to department management. ESSENTIAL DUTIES AND RESPONSIBILITIES Uses established coding guidelines to ensure the most effective and accurate coded profile on the patient. Abstracts pertinent and accurate data from the clinical record. Works with hospital and clinical staff to ensure that accurate and relevant patient data is...

The Coding Network (TCN) is looking to contract with an Ophthalmology E&M coder to perform the Ophthalmology E&M coding for a number of clients throughout the country. The coder will access the operation reports via a remote connection to the client's EMR and return the coded cases. Hours can range from a 15-40 hour/week commitment. NOTE: We do not have needs for surgical Ophthalmology at the moment, our current needs are for E&M only All applicants must: · Have a minimum of 3 years of Ophthalmology E&M Specific Coding · Have an active coding certification (CPC, RHIA, RHIT) · Live and work in the United States of America · Take and pass TCN’s Ophthalmology E&M Coding Exam If you meet the above criteria and are willing to test please submit your resume.

The Children’s Hospital Of The King’s Daughters is seeking a Hospital Medical Coder II to accurately abstract and code data from outpatient, observation, day surgery, urgent care and emergency records, progressing from less complex to more complex cases. Under supervision, you will use ICD, DRGs, CPT/HCPCS and outpatient groupers, with collaboration from clinical staff to ensure data supports reimbursement and statistical reporting. RHIT/CPCH/CCS certifications are preferred. #J-18808-Ljbffr

Inpatient Medical Coder (CCS certified) Assignment Details: 100% REMOTE Position Type: W2 Regular Employment At least 5 years of IP PCS Coding experience, required At least 3 years OP, preferred CCS certificate is required. Schedule: Weekdays, full-time hours Shift: Regular day shift hours System Experience: Cerner | Power Chart | 3M | EPIC Start Date: Immediately To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test. Summary : IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Responsibilities: 1. Examines the complete medical record to accurately determine the principal & secondary...

Medical Billing Clerk/SpecialistWe are seeking a detail-oriented Medical Billing Clerk/Specialist for a company in Norfolk. This unique role combines revenue cycle management with front desk support, serving as both a primary client liaison and a core engine for billing operations. This is an on-site, temp-to-hire position that we are looking to have someone start immediately. You must be able to work four days: 8:30 AM – 5:00 PM and one day: 11:00 AM – 7:30 PM. In this role, you

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies. Accurate...

Occupational Therapist (Flat Rate) - Maryview Medical CenterThe 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 outpatient, inpatient, pediatric, and off-site settings.Essential Functions:Review physician referrals and patient medical history to determine therapy needs.Conduct and document patient evaluations, re-evaluations, and treatment plans according to department protocols.Administer prescribed occupational therapy treatments and create custom equipment for individual needs.Develop programs focusing on functional skills, vocational training, daily activities, and motor skills.Monitor progress and adjust treatment goals and plans as necessary, participating in patient care conferences.Educate patients and families on at-home treatment procedures.This document is not an...

Medical Coding SpecialistDutiesAnalyze patient medical records to identify inaccurately coded services in accordance with federal coding regulations and guidelines.Assign specific codes to medical records, sequencing and determining codes to accurately reflect the resources and procedures used in the care of the patients.Ensure compliance with regulatory and third-party insurance requirements in utilizing the ICD-10-CM, and CPT coding books.Perform limited utilization review of outpatient and inpatient records to assure the diagnosis responsible for the length of stay is appropriately identified.Assure secondary diagnoses are sequenced properly to assure maximum allocation under the Relative Value Unit (RVU) and Diagnosis-Related Group (DRG) systems.Provide review and analysis of coding accuracy and compliance statistics, coordinating results with the Coding Manager and Patient Administration Department Head for feedback to the providers.Prepare reports of findings and recommends...

About the Position: The positions fall under the Defense Health Agency (DHA) Atlantic Network at the Naval Medical Center Portsmouth, Patient Administration Department (PAD) providing guidance and functional expertise to improve coding accuracy, and functioning primarily as a medical auditor/trainer. (See duties below). This is a Direct Hire Solicitation Who May Apply: US Citizens In order to qualify, you must meet the experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about...

Job Title Medical Records Analyst Duties Analyze patient medical records to identify inaccurately coded services in accordance with federal coding regulations and guidelines. Assign specific codes to medical records, sequencing and determining codes to accurately reflect the resources and procedures used in the care of the patients. Ensure compliance with regulatory and third-party insurance requirements in utilizing the ICD-10-CM, and CPT coding books. Perform limited utilization review of outpatient and inpatient records to assure the diagnosis responsible for the length of stay is appropriately identified. Assure secondary diagnoses are sequenced properly to assure maximum allocation under the Relative Value Unit (RVU) and Diagnosis-Related Group (DRG) systems. Provide review and analysis of coding accuracy and compliance statistics, coordinating results with the Coding Manager and Patient Administration Department Head for feedback to the providers. Prepare...