54 billing coder jobs found

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

Riverside Health in Newport News, Virginia is seeking a skilled Medical Coder to assign ICD-10-CM and CPT codes to medical records, ensuring accurate documentation and compliant billing. You will review charts, identify gaps, and collaborate with physicians to obtain necessary information. The role emphasizes coding accuracy, productivity, and adherence to regulatory standards. Candidates with CPC or COC certifications and at least one year of coding experience are encouraged to apply; remote #J-18808-Ljbffr

Job TitleNewport News, VirginiaHiring Range: $23.00 - $29.90/HourlyActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA.OverviewEnsures high quality documentation that is thorough, accurate and complete to ensure correct reimbursement capture. Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations.What You Will DoOrganizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element. Audits for...

Accurate clinical documentation and coding are essential to ensuring quality patient care, operational excellence, and regulatory compliance. This role offers an experienced outpatient medical coder the opportunity to make a meaningful impact across a broad range of ambulatory specialties while supporting one of the nation's leading academic health systems. As a Coding Quality Specialist 2, you will serve as a trusted coding expert for ambulatory medicine and specialty practices, helping ensure complete, compliant, and accurate code assignment. This position offers the flexibility of remote work , exposure to diverse specialties, and the opportunity to collaborate with providers and clinical teams in a highly respected healthcare environment. The Role As part of a specialized coding team, you will independently review complex outpatient documentation and apply advanced coding knowledge to support coding accuracy, quality initiatives, and regulatory...

Certified CoderAt Commence, we're the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient processes to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.Requirements3+ years of direct experience in medical coding, medical billing, and/or coding quality assurance/auditing in a healthcare environment, including ICD-10-CM/PCS, CPT/HCPCS, and DRG/APR-DRG coding systemsActive coding...

Job Description Job Description Description: Charge Capture and Claim Submission Review and verify charges, CPT/ICD-10/HCPCS codes, and modifiers for orthopedic office visits, procedures, injections, imaging, DME, and surgical services before billing. Prepare, scrub, and submit clean claims to commercial, government, and third-party payers through athenaOne, resolving claim edits and clearinghouse rejections promptly. Track global surgical periods, bundling rules, and payer-specific requirements to ensure correct billing for orthopedic procedures. Denial Management and Appeals Work denials, rejections, kicked claims, and no-response claims daily in athenaOne; determine the kick reason and root cause, correct, and resubmit within payer timely-filing limits. Draft and submit appeals with supporting documentation, including for medical-necessity, authorization, coordination-of-benefits, and downcoding denials common in orthopedics. Route registration-driven denials...

Corporate Coding and Compliance - Newport News, VA 23606 Overview Level Entry Position Type Full Time High School Travel Percentage None Category Coding and Compliance Description Position Summary A Coder I performs coding audits for quality checks and provider education. Major Duties and Responsibilities Maintains working knowledge of coding and compliance. Provides coding training and support to all TPMG locations. Participates in coding-related denial meetings. Performs coding and auditing of medical record documentation to ensure accurate coding. Reviews and submits documentation for all Recovery Audit Contractors (RAC) requests; timely follow-up of RAC audit. Reviews and submits documentation for all Error Rate Testing (CERT) requests with timely follow up of CERT response. Reviews and submits documentation for Targeted Probe and Educate (TPE) requests. Reviews and submits documentation for medical record requests for all insurance carriers. Follows HIPPA guidelines. Works...

Hiring Range $23.00 - $29.90/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA. Newport News, Virginia Overview Ensures high quality documentation that is thorough, accurate and complete to ensure correct reimbursement capture. Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations. What You Will Do Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element. Audits for...

## Compliance Coding AuditorApplyremote type: Remotelocations: Norfolk, VAtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR-104491**City/State**Norfolk, VA**Work Shift**First (Days)**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...

Fully Remote Lake Park Building Full time R180277 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Sentara Health in Virginia Beach, VA is seeking a Medical Coding Specialist II to perform accurate and compliant coding across multiple specialties, supporting revenue cycle operations and ensuring timely, accurate billing. The ideal candidate has at least 5 years of coding experience, CPC or CCS certification, familiarity with Epic, GECB, or Allscripts, and a strong grasp of the full revenue cycle from terminology to collections. #J-18808-Ljbffr

The Dermatology Center in Fredericksburg, VA seeks a skilled In-Office Medical Billing Representative for a 100% on-site role. You will handle patient financial care with compassion and accuracy in a busy dermatology setting. Responsibilities include posting payments, assisting patients in person, handling denials/appeals to maximize reimbursement, managing statements and collections, and reconciling accounts with attention to fee schedules. #J-18808-Ljbffr

Medical Billing SpecialistPosition: Medical Billing Specialist Location: Remote / On-site Department: Revenue Cycle Management Overview: CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that enhance medical billing workflows. The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practices for maximum reimbursement and minimal claim rejections. Why Join CMCI? Opportunity to work with cutting-edge AI-driven billing solutions that optimize RCM efficiency. Work in a collaborative environment with healthcare and AI professionals. Competitive salary, benefits, and professional development opportunities. Key Responsibilities: Claims Processing & Submission: Accurately process, review, and submit medical claims. Verify CPT, ICD-10, and HCPCS codes to...

The Dermatology Center in Fredericksburg, VA is seeking an experienced In-Office Medical Billing Representative to join our busy dermatology practice. This 100% on-site role focuses on revenue cycle management, posting payments, denials resolution, and patient financial counseling for in-person visits. Qualified candidates have 2+ years of outpatient medical billing experience, familiarity with CPT/ ICD-10 coding, and comfort using Modernizing Medicine EMA. #J-18808-Ljbffr

JOB SUMMARY : The Medical Coding Specialist is responsible for providing billing analysis of claims and applying coding standards and federal regulations to ensure correct billing practices. In this role, you will perform bill and chart reviews to identify any variation from quality billing practices and monitor patient bills for accuracy and compliance. This position also requires awareness of international coding systems and healthcare billing practices to support global operations and ensure alignment with international regulatory standards. JOB ROLES AND RESPONSIBILITIES: Review and analyze inpatient, outpatient, and provider billing for medical appropriateness of treatment; analyze charges across various revenue centers with consideration to patient diagnosis, procedures, age, facility type, and international healthcare norms where applicable. Apply recommendation of national coding and international coding and regulation standards (e.g., ICD-10-AM, OPCS-4,...

Job Description Job Description About Us: Dominion Women’s Health is dedicated to delivering high-quality healthcare services with accuracy, efficiency, and integrity. We are seeking a detail-oriented and knowledgeable Medical Coder to join our team on-site and play a critical role in ensuring proper coding and billing practices. As a part of our team, all employees must maintain strict confidentiality and adhere to all HIPAA and OSHA regulations to ensure patient privacy and workplace safety. Qualifications: Certified Professional Coder or Certified Professional Coder Apprentice 1–2 years of coding experience preferred (newly certified candidates may be considered). Strong knowledge of ICD-10, CPT, and HCPCS coding guidelines. Ability to work independently with strong attention to detail. Excellent communication and organizational skills. Must be willing to submit to a background investigation, including for example, verification of your past employment, criminal...

*TekSystems is currently hiring for a FULLY REMOTE ED **Senior** Medical Coder! * *MUST HAVE: Several years of ED Medical Coding experience! Must be certified in either: One of the following credentials are required - CCS, CPC, COC, RHIA, RHIT. Successful completion of a coding certificate program with AHIMA approval status is preferred. Must have EPIC Experience! * *States Approved: NC, TX, FL, VA! * *Description* The Senior Coding Specialist is responsible for accurately assigning and sequencing ICD diagnostic and procedural codes and/or CPT procedural codes to inpatient and outpatient records. Essential Duties and Responsibilities Code diagnostic and procedural information from the record using ICD-10-CM/PCS and CPT-4/HCPCS classification systems. Utilize a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM, Uniform Hospital Data Set, Medicare, Medicaid, and other fiscal intermediary guidelines. Work...

Job Family: General Coding Travel Required: None Clearance Required: None What You Will Do The Vascular Surgery Coder must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager, the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending...

Benefits: 401(k) Competitive salary Training & development About the Role: Lifetime Family Medicine LLC is looking for a detail-oriented and experienced Medical Coder & Biller to join their team part-time in Gainesville, VA. This is a great opportunity to contribute your coding and billing expertise to a patient-focused family medicine practice while enjoying a flexible schedule. If you thrive in a collaborative healthcare environment and take pride in accurate, timely claims processing, we want to hear from you! Responsibilities: Accurately assign ICD-10, CPT, and HCPCS codes to patient encounters and procedures Prepare and submit clean claims to insurance carriers, including Medicare and Medicaid Review and resolve claim denials, rejections, and appeals in a timely manner Post payments, adjustments, and patient balances to accounts Verify patient insurance eligibility and benefits prior to billing Follow up on outstanding accounts receivable and...

Medical Auditor (Billing & Coding)Previous coding experience required Hybrid - must be able to travel by car to regional officesResponsible for conducting coding and documentation audits for assigned providers and consulting and educating providers on documentation requirements and other compliance issues related to billing.Under the direct supervision of the Billing & Coding Compliance Manager, this full-time position will work with physicians and other clinicians to ensure they comply with documentation and coding standards, regulations and requirements. This includes conducting billing and coding audits, identifying and resolving issues, and educating clinicians and staff on requirements for documenting, coding and billing medical services.Job Responsibilities and Accountabilities:Assists with monitoring of OrthoVirginia's Compliance Program as related to billing, coding, and documentation, including the OIG Compliance Program guidance for physician practices and...

Riverside Health System in Newport News, VA is seeking a Certified Coder to assign ICD-10-CM and CPT codes, ensuring accurate documentation and proper reimbursement. You will review charts, outpatient records, and physician notes, then query clinicians as needed to resolve gaps and ambiguities. The role requires CPC or COC certification upon hire, at least 1 year of ICD-CPT coding experience, and the ability to work with physicians and billing staff to maintain coding quality and regulatory #J-18808-Ljbffr

TPMG – Tidewater Physicians Multispecialty Group – is seeking an Entry Level Coder I in Newport News, VA to perform coding audits for quality checks and provider education. The role requires knowledge of CPT/ICD coding, medical terminology, and experience with NextGen/Encoder Pro. You will train staff, review RAC/CERT/TPE requests, and collaborate with the Central Billing Office to support accurate reimbursement. #J-18808-Ljbffr

DRG Coding Auditor - MS-DRG and APR-DRG 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 documentation to...

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