18 certified coder analyst jobs found

Job Title: Medical Biller (Medicaid & MCO - Behavioral Health) Full-time Office Address: 20116 Ashbrook Pl #100 Ashburn, VA Compensation: USD 25 - USD 28 - hourly Position Summary The Medicaid & MCO Biller is responsible for accurate and timely submission, tracking, and reconciliation of claims for services billed to DC Medicaid and Managed Care Organizations (MCOs). This role ensures compliance with District of Columbia Department of Health Care Finance (DHCF) regulations and payer‑specific billing requirements while supporting revenue cycle efficiency. Eligibility & Authorization Verification Verify Medicaid eligibility using systems such as DC Access System or other payer portals. Confirm MCO enrollment and service coverage prior to claim submission. Track and manage prior authorizations and limitations. Claims Submission & Processing Submit clean claims to DC Medicaid and MCOs (e.g., AmeriHealth Caritas DC, MedStar Family Choice DC, Wellpoint, HSCSN)....

Certified Coder The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented Certified Coder. The primary responsibility of the Coder is to assist the CBO with the review of medical records, assign ICD-10 and CPT codes to Inpatient or Outpatient records as needed, meet productivity requirements and meet all legal (federal and state) coding requirements. Key Responsibilities include: Analyze and evaluate medical records and assign appropriate ICD-10 and CPT diagnostic and/or procedure codes in accordance with coding guidelines. Reviews APC edits and add modifiers or delete charges as needed Consult with hospital staff when necessary to secure sufficient information to clarify data for proper coding and resolve discrepancies in the...

Certified Coder The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented Certified Coder. The primary responsibility of the Coder is to assist the CBO with the review of medical records, assign ICD-10 and CPT codes to Inpatient or Outpatient records as needed, meet productivity requirements and meet all legal (federal and state) coding requirements. Key Responsibilities include: Analyze and evaluate medical records and assign appropriate ICD-10 and CPT diagnostic and/or procedure codes in accordance with coding guidelines. Reviews APC edits and add modifiers or delete charges as needed Consult with hospital staff when necessary to secure sufficient information to clarify data for proper coding and resolve discrepancies...

Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor) Tidewater Community College's Workforce Solutions Department seeks an experienced Medical Coder/Auditor to lead a hands-on Certified Professional Medical Auditor (CPMA) exam–preparation course. This position is an adjunct instructor position in the college's non-credit program under Workforce Solutions. This program includes both continuing education for professional development and industry recognized credential attainment, which may be offered Asynchronously, at TCC campuses and other convenient locations throughout the community. The CPMA instructor will prepare students to audit medical records and ensure coding accuracy and compliance. Emphasis is placed on healthcare regulations, documentation review, and revenue integrity. The candidate will deliver engaging CPMA-focused instruction using real-world coding scenarios, chart reviews, and denial analysis. The instructor must be...

divh2Clinical Nurse Auditor Payment Integrity/h2pWe are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers. You will conduct prepayment claims reviews, post-payment audits, and comprehensive provider record reviews to ensure accurate billing, compliance with payer regulations, and integrity in reimbursement practices. This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential./ppHow You Will Make an Impact/pulliInvestigations and Audits: Conduct in-depth medical reviews through...

Summary This position is located in the Health Information Management (HIM) section at the Central Virginia Health Care System, Fredericksburg Virginia. MRTs (Coder) are 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. Responsibilities Total Rewards of a Allied Health Professional Outpatient MRTs (Coder) at this level perform the full scope of outpatient coding including ambulatory surgical cases, diagnostic studies and procedures, outpatient encounters, and/or inpatient professional services. Specific Functions: Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Patient encounters are often complicated and complex requiring extensive coding expertise. Applies advanced knowledge of medical...

Title: PH Physician Supervisor - Medical Director State Role Title: Physicians and Surgeons, All Other Hiring Range: $196,687.00 - $200,878.00 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 a taste for...

Inova Health is looking for a dedicated Medical Records Coder Supervisor to join the Inpatient team. Full-time Day Shift: Monday-Friday, general office hours, working remotely. This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their...

***To be considered for the role, you must permanently reside in one of the following states: Alabama, Arkansas, Florida, Georgia, Kentucky, Kansas, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, South Carolina, Tennessee, Texas, Virginia, or West Virginia*** The Senior Compliance Auditor reviews complex audits, performs quality assurance reviews, acts as a peer mentor, and assists management with onboarding process of new auditors. The Senior Compliance Auditor supports the audit supervisor with the development and maintenance of the quarterly audit work plan and audit workflow processes. The Senior Compliance Auditor recommends changes to improve business operations by using professional judgement and knowledge of best practices. This position contributes to special projects, as applicable. The Senior Compliance Auditor performs documentation/chart audits on inpatient and outpatient records, and to provide analysis of the records (provider and facility)...

Responsibilities Atlantic Region CBO: The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. https://jobs.uhs.com/atlantic-region-cbo The Atlantic Region CBO is seeking a dynamic and talented Certified Coder. The primary responsibility of the Coder is to assist the CBO with the review of medical records, assign ICD-10 and CPT codes to Inpatient or Outpatient records as needed, meet productivity requirements and meet all legal (federal and state) coding requirements. Key Responsibilities include: Analyze and evaluate medical records and assign appropriate ICD-10 and CPT diagnostic and/or procedure codes in accordance with coding guidelines. Reviews APC edits and add modifiers or delete charges as needed Consult with hospital staff when necessary to secure...

Job Description Inova Health is looking for a dedicated Medical Records Coder Supervisor to join the Inpatient team. Full-time Day Shift: Monday-Friday, general office hours, working remotely. This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team...

Responsibilities Atlantic Region Central Billing Office (ARCBO) provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to affiliated Universal Health Services hospitals. The Atlantic Region CBO seeks a dynamic and talented Certified Coder . The primary responsibility of the coder is to assist the CBO with the review of medical records, assign ICD-10 and CPT codes to inpatient or outpatient records as needed, meet productivity requirements, and meet all legal (federal and state) coding requirements. Key Responsibilities Analyze and evaluate medical records and assign appropriate ICD-10 and CPT diagnostic and/or procedure codes in accordance with coding guidelines. Review APC edits and add modifiers or delete charges as needed. Consult with hospital staff when necessary to secure sufficient information to clarify data for proper coding and resolve discrepancies in the documentation and information...

Atlantic Region CBO The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre‑access management, variance, and customer service to our affiliated Universal Health Services hospitals. Responsibilities The Atlantic Region CBO is seeking a Certified Coder . The primary responsibility of the Coder is to assist the CBO with the review of medical records, assign ICD‑10 and CPT codes to inpatient or outpatient records as needed, meet productivity requirements and meet all legal (federal and state) coding requirements. Key Responsibilities Analyze and evaluate medical records and assign appropriate ICD‑10 and CPT diagnostic and/or procedure codes in accordance with coding guidelines. Review APC edits and add modifiers or delete charges as needed. Consult with hospital staff when necessary to secure sufficient information to clarify data for proper coding and resolve discrepancies in the...

Posting Details Posting Summary Working Title Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor) Role Title Role Code FLSA Exempt Pay Band UG Position Number 295A0003 Agency Tidewater Community College Division Tidewater Community College (Div) Work Location Suffolk - 800 Hiring Range Commensurate with qualifications and experience. Emergency/Essential Personnel No EEO Category I-Faculty Full Time or Part Time Part Time Does this position have telework options? -Telework options are subject to change based on business needs- No Does this position have a bilingual or multilingual skill requirement or preference? Work Schedule Varies Sensitive Position No Job Description Tidewater Community College has served South Hampton Roads - both students and employers - for 50 years. It has grown from 1 campus into a regional educational and economic force. TCC is...

Title: Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor) Agency: Tidewater Community College Location: Suffolk - 800 FLSA: Exempt Hiring Range: Commensurate with qualifications and experience. Full Time or Part Time: Part Time Additional Detail Job Description: Tidewater Community College has served South Hampton Roads - both students and employers - for 50 years. It has grown from 1 campus into a regional educational and economic force. TCC is the largest provider of higher education and workforce services in Hampton Roads, enrolling nearly 25,000 students in 2024-25. Founded in 1968 as a part of the Virginia Community College System, Tidewater Community College (TCC) services South Hampton Roads with 4 campuses in Chesapeake, Norfolk, Portsmouth, and Virginia Beach, 7 regional centers and 2 important cultural institutions. The college had 3,399 graduates in 2024-2025, 40 percent of whom pursued degrees...

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...

Medical Coder (CPC / CPC-A) Bayview Physicians Group | Chesapeake, VA Full-Time | Experienced or Apprentice | Medical Billing Department Code with purpose. Grow with confidence. Build your future at Bayview. Bayview Physicians Group is a rapidly growing, outpatient multi-specialty medical group that believes exceptional healthcare starts with strong doctor-patient relationships. With hundreds of team members serving the Hampton Roads community, we are committed to excellence, collaboration, and creating a positive workplace where employees can thrive. We are currently seeking a Certified Professional Coder (CPC or CPC-A) to join our Medical Billing team. Whether you're an experienced coder or an Apprentice ready to grow, this is an exciting opportunity to build your skills within a large, diverse, multi-specialty organization. We are willing to train the right candidate. Remote and hybrid opportunities are available. Why You'll Love Working Here...

Medical Billing Specialist 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...