103 certified jobs found

Medical Record Reviewer The purpose of this position is to review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges; Retrieves information from medical records, ensuring adherence with established methods and procedures. Key Responsibilities/Accountabilities: Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Serves as backup to other administrative functions as assigned. Meets job standards for achieving contract deliverables. Assists with other job- and education-related duties as assigned. Other duties as assigned Read, understand, and adhere to all...

Job Description Job Description Benefits: 401(k) 401(k) matching Competitive salary Dental insurance Free uniforms Health insurance Paid time off Vision insurance We are seeking a Certified Medical Billing & Coding Specialist to join our busy healthcare practice. The ideal candidate is detail-oriented, organized, and experienced with insurance claims, coding accuracy, and revenue cycle workflows. The applicant must be experienced with Eclinical Works. NO remote applicants please. Responsibilities: Accurate medical coding (ICD-10, CPT, HCPCS) Submit and follow up on insurance claims Verify eligibility & benefits and resolve denials Post payments, adjustments, and reconcile accounts Work A/R reports and maintain clean claim rate Communicate with providers and staff for documentation support Qualifications: Certification required: CPC, CCS, or equivalent Minimum 1–2 years experience in billing/coding preferred Strong...

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

Occupational Therapy Assistant – Maryview Medical CenterThe 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 patient information...

Req ID: RQ226381 Type of Requisition: Regular Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: None Job Family: Ancillary Health Skills: Claims Data,Data Analysis,Microsoft Excel,Policy Analysis,Strategic Objectives Certifications: Certified Fraud Examiner (CFE) | Association of Certified Fraud Examiners (ACFE) - Association of Certified Fraud Examiners (ACFE) Experience: 8 + years of related experience Job Description: GDIT's Federal Health Division is hiring a Healthcare Coding Expert to support the Centers for Medicare and Medicaid (CMS), you will be trusted to identify trends in the data and create leads and referrals for the Healthcare Fraud Prevention Partnership (HFPP) members (Partner) and the Trusted Third Party (TTP). You will be part of a 50-person team supporting the TTP which was established in 2012 to reduce fraud, waste and abuse in healthcare data. Work expected to begin in October 2026 Work...

Chesapeake Regional Medical Group is seeking a Senior Coding Specialist to perform coding tasks across physician practices, including obtaining pathology and operative reports, assigning ICD and CPT codes, and ensuring accurate transmissions within the system. The role requires experience in hospital/medical office settings, CPC certification (or within one year), and strong computer skills. You will participate in audits, education, and go-live support across multiple locations. #J-18808-Ljbffr

CLINICA FAMILIAR DE ARLINGTON in Falls Church, VA is seeking a Certified Medical Billing & Coding Specialist to join our busy healthcare practice. The ideal candidate will handle ICD-10, CPT, HCPCS coding, claims submission, eligibility verification, and revenue cycle tasks with accuracy and efficiency. Applicants should have CPC or CCS certification and 1–2 years of billing/coding experience, with proficiency in eClinical Works EMR and strong attention to detail. #J-18808-Ljbffr

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...

Job Description The Associate Director for Medical Student Financial Aid serves as the primary financial aid administrator and financial wellness leader supporting students enrolled at the Virginia Tech Carilion School of Medicine (VTCSOM). Reporting jointly to the Vice Dean of the Virginia Tech Carilion School of Medicine and the Associate Vice Provost for University Scholarships and Financial Aid, this position provides strategic leadership in the administration of financial aid programs while advancing student financial success through personalized advising, financial wellness education, operational excellence, and collaborative partnerships. The Associate Director serves as the Virginia Tech Carilion School of Medicine's recognized subject matter expert in medical student financial aid, educational financing, physician debt management, loan repayment strategies, and financial wellness. The position provides strategic leadership in the administration of federal, institutional,...

Join 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 collaborating with STARS...

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. 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....

Biomedical Equipment Technician Supervisor We are seeking a Biomedical Equipment Technician (BMET) Supervisor to join our healthcare technology team. You will be responsible for ensuring that all life-saving medical equipment is installed, calibrated, and maintained to the highest safety standards. Industry: Industrial Support to HealthCare. Location: Navy Expeditionary Medical Support Command, 1201 Jamestown Rd, Williamsburg, VA 23185. Experience: eight to ten years. Annual Salary: $91,000.00 to $102,000.00 Based on Skills and Experience. Employment Type: Full Time. Schedule: Monday thru Friday but flexible depending upon government customer needs. Pay Frequency: Biweekly. Benefits: Health/Vision & Dental available. General Requirements: CBET - Certified Biomedical Equipment Technician Preferred 8-10 years Biomedical Equipment Technician Supervisor experience. Leads team of junior BMETs providing daily work guidance and responsibilities; communicates guidance of...

Respiratory Therapy Supervisor - Southside Regional Medical Center The Supervisor, Respiratory Therapy is responsible for supervising department staff and providing respiratory care through patient assessment, planning, intervention, education, and evaluation. Performs all respiratory care procedures including but not limited to oxygen and aerosolized medication delivery, ventilator care, bronchial hygiene therapy, diagnostic services and patient and staff education. Monitors the patient's response to such therapies and makes recommendations to change or modify based on the assessment. Essential Functions: Ensures respiratory care coverage for patient care areas and needs. This includes assigning respiratory care staff to work areas and/or work assignments, modifying work assignments, assisting with meal coverage, fielding call offs and providing adequate staffing levels for the next shift. May be responsible for interviewing/selecting/hiring staff, orienting, training,...

PH Physician Supervisor (Medical Director) Title: PH Physician Supervisor (Medical Director) State Role Title: Physicians and Surgeons, All Other Hiring Range: $203,571.05 - $207,909.99 Pay Band: 8 Agency: Virginia Department of Health Location: Chesterfield HQ Agency Website: https://www.vdh.virginia.gov/chesterfield/ Recruitment Type: General Public - G Job Duties The Virginia Department of Health (VDH) is dedicated to protecting and promoting the health of Virginians. The VDH is made up of a statewide Central Office in Richmond and 33 local health districts. The Chesterfield Health District provides public health services to the residents of Chesterfield County, Powhatan County, and the City of Colonial Heights. This position is based in the Chesterfield Health Department. Are you interested in providing clinical care while working on ways to address the upstream causes of preventable diseases? The Chesterfield Health District is looking for a physician-leader who has...

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. The role is 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, research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an IPA Consultative Coding Professional, you will be assigned 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 collaborating with STARS leaders and champions to identify...

Job Title Risk Coder Location Virginia Beach, VA Work Shift First (Days) Job Description Performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical Condition Categories (HCC). Supports risk adjustment data validation (RADV), medical record retrieval, vendor coding audits, provider engagement, & all risk adjustment ICD-10-CM coding-related activities. Conducts annual risk assessments, training, monitoring, & auditing, control assessment, reporting, investigation, root cause analysis, and corrective action oversight. Performs...

Job Title Tidewater Physicians for Women is seeking an experienced and certified OB/GYN medical biller. We offer a competitive salary and excellent benefits. Qualifications Experience in medical billing for an OB/GYN medical practice is required. Experience with medical coding systems (ICD-10, ICD-9) is required. Proficiency in using medical office systems and software for billing purposes. Strong attention to detail and organizational skills are required. Knowledge of billing procedures of Medicare, Medicaid, and private insurers and understanding of financial billing requirements. Knowledge of organization structure, workflow and operating procedures within a high-volume medical billing environment. Knowledge of Federal, State and payer regulations regarding medical billing compliance. Knowledge of mainframe-based medical billing and editing systems. Skill in keyboarding and knowledge of Microsoft Office programs. Skill in establishing and maintaining...

Job Title Newport News, Virginia 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. 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...

Medical Coding Specialist I Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreements, payment posting, statements and collections. This is a HYBRID position--one day per week office time is required to fulfill administrative tasks for Coding Denials work. Candidate must be close to either Sentara Rockingham Memorial Hospital or Sentara Martha Jefferson Hospital Charlottesville Required: minimum of 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 Education High School Diploma or equivalent Certification/Licensure CCS or CPC Coding Certification (Required) Experience minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology (CPT), International...

Inpatient Coder II Newport News, Virginia Hiring Range: $27.30 - $37.58/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. Overview: The Inpatient Coder II is responsible for analyzing the medical record to assign International Classification of Diseases (ICD) Clinical Modification (CM) diagnoses and Procedure Coding System (PCS) procedure codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines. Works in collaboration with the Clinical Documentation Improvement (CDI) team to ensure accurate Diagnosis Related Group (DRG) assignment and works closely with management to resolve problems and meet deadlines. What You Will Do: Assigns International Classification of Diseases...

Join 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 collaborating with STARS...

Signature Performance is seeking a remote Medical Coder for Surgery/Anesthesia. You will review medical records to assign accurate diagnoses and procedures, ensuring coding compliance and correct sequencing for proper reimbursement. Must have 2+ years of medical coding experience, and credentials such as RHIT/RHIA/CCS/CCS-P/CPC/CCA. Work is nationwide remote; responsibilities include reviewing documents, abstracting patient data, and maintaining coding quality and productivity metrics. #J-18808-Ljbffr

Description At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process 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. At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process 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...

Position: 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 ensure claims...