7 cpc certified professional coder jobs found in Charlottesville, VA

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...

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

University of Virginia is seeking a dedicated professional to oversee the financial aspects of patient care, including billing, claims processing, and reimbursement analytics. The role also involves translating diagnoses and procedures into standardized medical codes to support accurate billing and compliant health records. As an individual contributor, you will support the organization under supervision, communicating complex information clearly and adapting processes as needed to maintain #J-18808-Ljbffr

Augusta Health in Fishersville, Virginia, is looking for a Coder II to manage health information coding responsibilities. This role requires following regulatory guidelines for ICD-10-CM, HCPCS, and CPT codes with an emphasis on accuracy and compliance. The position also involves generating queries and managing medical records. Augusta Health offers competitive pay, comprehensive benefits including medical coverage, retirement plans, and career development opportunities to support employees both personally and professionally. #J-18808-Ljbffr

The Senior Professional Coder position at Albany Med Health System oversees professional fee coding and serves as a team lead in the service line. The role requires advanced coding skills and collaboration to ensure timely completion of coding workflows. While the job is remote, onsite education to providers is required as needed. Strong knowledge of CPT/ICD-10, CMS rules, and risk adjustment coding is essential, with leadership duties in daily operations and audits. #J-18808-Ljbffr

Reviews claims in assigned work queues in Cerner Revenue Cycle including CMG Review and Ambulatory Edit failure work items.Analyzes coding edits, reviews timeline notes, reviews clinical documentation, including provider orders, progress notes, surgical and test results thoroughly to interpret and ensure documentation supports the posted charges.Determines appropriate action needed to resolve coding edits / issues and ensure clean claim submission.Performs coding functions, including Current Procedure Terminology (CPT), International Classification of Diseases, tenth revision, Clinical Modification (ICD-10-CM), documentation review, and claim denial review.Applies appropriate modifiers.Ensures charges / coding are in alignment with the American Medical Association (AMA),Medicare, and Commercial coding guidelines on all claims reviewed.Credits / updates charges and coding as needed.Ensures queues are worked timely and efficiently.Maintains Productivity and accuracy...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to...