28 compliance coding auditor jobs found in Norfolk, VA

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...

Riverside Health System in Newport News, VA is seeking a HIMS Coding Auditor to maintain data quality and audit APC/MSDRG accuracy for inpatient and outpatient records. This remote-eligible role reviews coding compliance and collaborates with payer denials and the CDI team. The ideal candidate has 5–6 years of acute care coding experience, 2 years of auditing, and AHIMA or ACID certifications; strong Excel/Office skills and excellent communication are required. Remote work options are available. #J-18808-Ljbffr

Emory Healthcare is seeking a remote Medical Coding Auditor to ensure accurate coding and compliant documentation for professional services. The role collaborates with clinicians, coding staff, and compliance teams to support proper reimbursement and regulatory adherence. The position requires a coding credential (AAPC/AHIMA) and 2+ years in medical billing or coding, with familiarity in EHR systems and billing software. Remote work is available to eligible US locations. #J-18808-Ljbffr

Emory Healthcare is seeking a qualified Medical Coder/Audit specialist to ensure accurate coding and compliant documentation. The role reviews records, identifies discrepancies, and collaborates with providers, coders, and compliance teams to support proper reimbursement. Candidates should hold CCS/P CPC or RHIA/RHIT certification, with at least two years in medical billing or coding and familiarity with EHR systems. #J-18808-Ljbffr

Signature Performance, Inc. is seeking an Outpatient Coding Auditor for a remote nationwide role. You will perform quality reviews, audits, and coordinate with department managers to ensure coding standards, highlighting documentation gaps and driving improvements across the organization. You should have advanced ICD-10-CM/PCS, CPT-4/HCPCS knowledge and experience with reimbursement systems; be capable of educating staff and providing guidance on coding issues. #J-18808-Ljbffr

This is a remote based position. Applicants can be located nationwide Outpatient Coding Auditor #2972 United States Remote/Nationwide Position Description About You You are a person who enjoys ensuring coding accuracy and solving documentation and compliance challenges. We need someone who demonstrates skills in organization, prioritization, professionalism, and coaching others. In the role of Outpatient Coding Auditor, you will be responsible for quality reviews and audits and coordinating with department managers to ensure standards are met in accordance with department and organization policies. Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), Procedural Coding System (PCS), Current Procedural Terminology (CPT-4 and Healthcare Common Procedure Coding System...

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...

Title: Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor) Agency: Tidewater Community College Location: Suffolk - 800 FLSA: Exempt Hiring Range: $30-$100 per hour, 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...

Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor)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 that would let them transfer to 4-year institutions. Of South Hampton Roads residents enrolled in higher education 33% enrolled at TCC. TCC's institutional accreditation is affirmed through 2027 by the Southern Association of Colleges and Schools...

Talentify is seeking a healthcare billing and coding specialist to ensure accurate CPT and ICD-10 coding from patient records and to manage claims, denials, and payments. You will audit processes and collaborate with internal teams to maintain compliance with regulations. The role requires CPA-certified coder credentials and prior healthcare billing experience, with strong organizational and communication skills to support patient and insurer inquiries. #J-18808-Ljbffr

Risk Adjustment Coder Location: Virginia Beach, VA Work Shift: First (Days) Overview: Sentara Medical Group is now hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA! Hours: Monday - Friday, 8:00AM -5:00PM, dayshift. This is a hybrid position that offers a combination of remote and onsite work, with a requirement to be in the office one to two days each week. The role also includes travel as needed to support business objectives and team collaboration. Responsibilities: 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...

Overview Join our dynamic healthcare team as a Medical Coder, where your expertise will play a vital role in ensuring accurate medical documentation and billing processes. In this energetic and detail-oriented role, you will analyze medical records, assign appropriate codes, and collaborate with healthcare providers to facilitate seamless reimbursement and compliance. Your skills will directly impact the efficiency of medical billing operations and the integrity of patient records, making a meaningful difference in patient care and administrative excellence. Responsibilities Review and interpret medical records, including physician notes, and treatment documentation to accurately assign diagnostic and procedural codes. Utilize coding systems such as ICD-10 (International Classification of Diseases, 10th Revision), CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) to ensure precise classification of diagnoses and procedures. Ensure compliance with...

Coding Specialist (Part-Time)At 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.The Coder Reviewer position is responsible for supporting and conducting reviews and determinations for independent dispute resolutions at both the Federal and State levels. Subject matter expert in clinical...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Tax Compliance Auditor Seasonal Administrative Staff Corporate Remote, US 4 days ago Requisition ID: 10412 Salary Range: $25.00 To $30.00 Hourly Job Title: Tax Compliance Auditor Department/Business Unit: Dept 94 - Compliance Reports to: Director of Compliance Status: Seasonal FLSA Status: Hourly Job Summary The Tax Compliance Auditor will work directly with the Director of Compliance and Compliance Process Manager to review individual tax returns with certain schedules and tax credits. This position is integral to help identify unusual tax practices in our tax offices, test compliance with Liberty Tax policies and procedures, the Internal Revenue Service and state statutes, rules and regulations. The position will perform analytical and investigative services working directly with compliance staff....

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.The Certified Coder performs coding-focused medical review of Medicare Part A/B and DMEPOS claims for the program. Certified coders apply Medicare policies and guidelines, ensuring claims are evaluated according to National and Local...

Risk Adjustment CoderSentara Medical Group is now hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA!Hours: Monday - Friday, 8:00AM -5:00PM, dayshift.This is a hybrid position that offers a combination of remote and onsite work, with a requirement to be in the office one to two days each week. The role also includes travel as needed to support business objectives and team collaboration.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...

## Risk Adjustment CoderApplyremote type: Hybridlocations: SMG Administrationtime type: Full timeposted on: Posted Todayjob requisition id: JR-103351**City/State**Virginia Beach, VA**Work Shift**First (Days)**Overview:**# **Overview**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,...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Tax Compliance Auditor Seasonal Administrative Staff Corporate Remote, US 4 days ago Requisition ID: 10412 Salary Range: $25.00 To $30.00 Hourly Job Title: Tax Compliance Auditor Department/Business Unit: Dept 94 - Compliance Reports to: Director of Compliance Status: Seasonal FLSA Status: Hourly Job Summary The Tax Compliance Auditor will work directly with the Director of Compliance and Compliance Process Manager to review individual tax returns with certain schedules and tax credits. This position is integral to help identify unusual tax practices in our tax offices, test compliance with Liberty Tax policies and procedures, the Internal Revenue Service and state statutes, rules and regulations. The position will perform analytical and investigative services working directly with compliance...

Job Title 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 vendor quality oversight audits; reviews and/or makes final coding determination for...

Sentara Health Plans in Virginia Beach, VA is seeking a Risk Adjustment Coder to perform compliance activities related to CMS/HHS risk adjustment and RADV audits. You will review professional and facility coding to ensure accurate HCC capture and support vendor and internal audits. The role requires an Associate degree or 4 years of coding experience, knowledge of ICD-10-CM guidelines, and CRC certification within two years. #J-18808-Ljbffr

Inpatient Coder II Newport News, Virginia $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 (ICD)-10-CM Clinical...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coder Full Time MED-Conforming JB Langley-Eustis, Ft. Eustis, VA, US 1 Attachments 5 days ago Requisition ID: 1063 Salary Range: $35.06 To $40.15 Hourly About Company: Since 1984, Professional Performance Development Group (PPDG) has been proudly Serving Heroes by connecting exceptional healthcare professionals with rewarding opportunities across military, federal, and commercial healthcare facilities. Guided by our core principles of excellence, integrity, andcollaboration , we are dedicated to delivering high-quality staffing solutions that strengthen the delivery of patient care nationwide. Rooted in a culture of Linked Prosperity , PPDG values the success of our clients, employees, and partners alike—offering competitive compensation, comprehensive benefits, professional growth, and a cooperative...

## HIMS Coding AuditorApply: Remote: Warwick Medical & Professional Center - Newport News, Virginia: Full time: Posted Today: 2026-037744Newport News, Virginia**Hiring Range**$28.90 - $39.78/HourlyActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs. **FOR APPLICATION REVIEW - PROVIDE YOUR AHIMA ID or CREDENTIAL NUMBER ON YOUR APPLICATION OR RESUME** ***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** Responsible for maintaining coded data quality through ongoing quality review and assessment of outpatient or inpatient records. Performs audits on accuracy of APC or MSDRGs as well as on quality of medical record documentation needed for accurate coding. Works with DRG and CPT denials from commercial payers and writes appeal letters as indicated. **What you will...

Inpatient Coder IINewport News, Virginia$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 DoAssigns International Classification of Diseases (ICD)-10-CM Clinical Modification (CM)...