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49 jobs found in Virginia

Patient First
Full Time
 
Patient Accounts Claims Submission Representative
Patient First Glen Allen, VA, USA
Responsibilities include, but are not limited to, the following: Preparing claims for electronic claims submission through a clearinghouse or direct submission to the insurance payer; Preparing paper claims for submissions via mail; attaching medical records when necessary for claim processing; Retrieving correspondence received from the clearinghouse or insurance company via mail and resolving all rejected claims for resubmission; Updating the billing system with necessary corrections for claims submission; Troubleshooting claims submissions; Maintaining a daily log of all uploaded, sent, and rejected claims; Establishing and maintaining a professional relationship with the clearinghouse and all insurance Electronic Data Interchange (EDI) department personnel and co-workers; Working with the Insurance Specialists to ensure proper filing of claims; Operating, using, and maintaining office equipment as trained. Minimum education and professional...

Nov 13, 2023
AAPC Recruiting Services
Full Time
 
Medical Coding Modernization Specialist (CDIS) - Onsite Only
AAPC Recruiting Services Portsmouth, VA, USA
Summary: This position will support coding operations and compliance as part of the Medical Modernization Program. The coding professional will conduct internal audits; monitor coding practices and documentation deficiencies to identify, develop, deliver training and monitor effectiveness of efforts to ensure improvement to documentation, coding completion, timeliness and accuracy rates for the MTF. Knowledge and Skills: Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-CM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and physiology, pharmacology, and disease processes to perform the duties described. Knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); Ambulatory Payment Classifications (APCs); and, Resource Based Relative Value...

Jun 20, 2023
IG
Medical Coder
Insight Global Norfolk, VA, USA
Insight Global is seeking a Medical Coding Specialist with a minimum of 5 years of coding experience. Responsibilities include coding orthopedic surgeries, office visits, injections, and more for the medical groups orthopedic teams. Softwares used will be EPIC, Incoder Pro, Codex, and Microsoft Office. This individual will be joining a strong team culture that values both team based and independent problem solving. This team shares regular communication through Teams messaging and hold weekly online huddles to discuss complex coding problems. The leadership operates with trust towards their staff who demonstrate independence and the ability to manage their time. If you are a highly experienced coder looking for a remote opportunity with a strong team, we would love to hear from you. Required Skills & ExperienceAACP Certification 5 years or more in coding 6-12 months in orthopedic coding 6-12 months in surgical coding Ability to use resources effectively. Demonstrated strong...

Dec 09, 2023
CC
Gift Shop Supervisor - Carilion New River Valley Medical Center
Carilion Clinic Christiansburg, VA, USA
Select how often (in days) to receive an alert: Gift Shop Supervisor - Carilion New River Valley Medical Center Employment Status:  Full time Shift:  Day Facility:  CNRVMC - Carilion New River Valley Medical Center Requisition Number:  143963 How You’ll Help Transform Healthcare: Basic Functions: Supports Carilion’s hallmarks of service excellence and quality for all job responsibilities. Supervises day to day operations/activities of the Gift Shop to ensure quality service. Interviews, selects, orients, and trains new employees. Ensures appropriate staffing levels. Oversight includes supervision of staff, operating hours, Point of Sale (POS) system, some product buys, and product receiving, deposits, cash flow, marketing, and customer service. Responsible for meeting monthly/yearly sales goals. Teams with Carilion retail areas for centralized product receiving and distribution. • Provides daily supervision, guidance, and assistance to Gift Shop staff regarding product...

Dec 09, 2023
MM
Quality and Compliance Specialist (GxP Site Auditor)
MMS Richmond, VA, USA
Job Description Job Description MMS is an innovative, data focused CRO that supports the pharmaceutical, biotech, and medical device industries with a proven, scientific approach to complex trial data and regulatory submission challenges. Strong industry experience, technology-enabled services, and a data-driven approach to drug development make MMS a valuable CRO partner, creating compelling submissions that meet rigorous regulatory standards. With a global footprint across four continents, MMS maintains a 97 percent customer satisfaction rating, and the company has been recognized as a leading CRO in Global Health & Pharma’s international awards programs for the last three consecutive years. For more information, visit  www.mmsholdings.com  or follow MMS on LinkedIn. Job Specific Skills Maintains a strong understanding of regulations and guidance as they pertain to compliance; maintains knowledge relating to regulatory updates. Understanding of how to plan, prepare...

Dec 09, 2023
RP
Associate Director, Field Medical Affairs - Ophthalmology (IN, OH, KY, WV)
Regeneron Pharmaceuticals Charleston, west VA, USA
Regeneron Pharmaceuticals Associate Director, Field Medical Affairs - Ophthalmology (IN, OH, KY, WV) Remote - West Virginia , West Virginia Apply Now As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based, medical science liaison with Ophthalmology expertise. We deliver strategic and operational support by establishing, developing, maintaining scientific exchange with medical specialists, health care professionals, and payers. Additionally, we participate in the development and management of company sponsored and investigator-initiated studies. Primary responsibilities of this role are to facilitate information and partake in broad scientific discussions. This is to ensure the distribution of clinical and scientific information regarding in-development or commercialized products in a timely, ethical and customer-focused manner. Territory: OH, IN, KY, WV A Typical Day May Include • Demonstrates expertise about assigned...

Dec 09, 2023
CL
Medical Operations Supervisor (Nurse Supervisor)
CSL LIMITED Charleston, west VA, USA
Medical Operations Supervisor (Nurse Supervisor) United States of America R-221351 2015 CSL Plasma Job Description Job Description Summary This position is responsible for overseeing the applicant and return donor reception and registration processes. • Supervise reception and medical staff. • Assist management with daily center operations to include development of reception and medical staff, assessment and improvement of processes, troubleshooting issues and managing donor flow. Job Description Main Responsibilities 1. In compliance with Standard Operating Procedures (SOPs), supervise daily activities of reception, medical, and customer service operations. Provide clear and consistent instructions and directions, conduct meetings, and clearly communicate performance expectations. May be required to perform tasks in work areas. Advise management of employee relation issues or escalated donor issues. 2. In conjunction with other management and supervisory staff, facilitate...

Dec 09, 2023
AM
Office Manager / Medical Biller
Angels Mission Home Care Services L Fredericksburg, VA, USA
Job Description Job Description Office management  Customer Service ManagementRemove Medical / Health Insurance Skills And BillingRemove Healthcare KnowledgeRemove Company Description ANGELS MISSION HOME CARE SERVICES is small business based in Stafford, VA. We currently service the Fredericksburg, Stafford, Spotsylvania, Ruther Glen, Woodford, New Post and Bowling Green areas. Company Description ANGELS MISSION HOME CARE SERVICES is small business based in Stafford, VA. We currently service the Fredericksburg, Stafford, Spotsylvania, Ruther Glen, Woodford, New Post and Bowling Green areas.

Dec 09, 2023
MP
Medical Biller
Multispecialty Physician Practice Alexandria, VA, USA
Job Description Job Description Medical Biller - OBGYN Alexandria, VA MUST: Experienced Medical Biller 2+ years of experience as a Medical Biller 2+ years of experience working in medical billing 2+ years of experience working with CPT and ICD-10 coding systems 2+ years of experience working with Medicare, Medicaid, BC/BS, Workers Compensation, and commercial insurance carriers billing regulations 2+ years of experience working with Explanation of Benefits (EOB's, insurance carrier payment policies, practices, and amounts Highly self-motivated and directed Ability to effectively prioritize and execute tasks while under pressure Experience working in a team-oriented, collaborative environment Very strong written and verbal communication skills Problem solver and able to troubleshoot independently with little supervision EMR: Athena and/or EPIC is preferred Certified Professional Coder (CPC) preferred DUTIES: Contact insurance companies by phone, email, fax, and written...

Dec 09, 2023
BH
Inpatient Complex Coder
Banner Health Chantilly, VA, USA
**Primary City/State:** Mesa, Arizona **Department Name:** Banner Staffing Services-AZ **Work Shift:** Day **Job Category:** Revenue Cycle **Primary Location Salary Range:** $25.03 - $37.55 / hour, based on education & experience In accordance with State Pay Transparency Rules. A rewarding career that fits your life. Banner Staffing Services offers a world of opportunities to make an impact on one of the countrys leading health systems. If youre looking to leverage your abilities you belong at Banner Staffing Services. As part of the **Banner Health Revenue Cycle Team,** there are opportunities within that team. We specialize in Inpatient coding on the facility side. We do not do pro-fee coding. We are a team of 4 Inpatient Coding Managers who cover for each other and report to the Director of Acute Care Coding. These positions offer opportunities for growth both within the coding department, including roles such as Coding Educator, Coding Quality...

Dec 09, 2023
OP
Medical Biller/Coder
Obgynnova PLLC Alexandria, VA, USA
Job Description Job Description Billing, coding, and pre-authorization for busy 4 physician obgyn practice. Company Description OBGYNNOVA PLLC is proudly part of Privia Health. We are a Small Private OBGYN Practice, searching for a qualified Patient Service Represenative who is motivated, organized and able to multitask. Must have excellent customer service skills with a smile. You must be able to work independently, and the ability to contribute positively to the team. Excellent customer service is a requirement. Only serious applicants looking for a long-term position should apply. Must be Fully COVID vaccinated to apply. At least Two years of Patient Care and administrative duties related to OBGYN. AthenaHealth experience is preferred. Bilingual is a plus. Essential Duties & Responsibilities include but not limited to: Some knowledge of surgery scheduling experience, attention to detail, independent problem solving, speaking to patients professionally and answering...

Dec 09, 2023
In
Registered Nurse (RN) Unit Supervisor - Medical/Surgical - Days
Inova Alexandria, VA, USA
Job Description The Inova Alexandria Hospital is seeking a Full-time Registered Nurse Unit Supervisor for our Medical/Surgical Unit. This is a 12 hrs. (3x) days shift. Inova Alexandria Hospital is a 318-bed community hospital that offers a full range of healthcare services and has received national recognition for healthcare excellence. From babies to seniors, Inova Alexandria Hospital Provides World-Class Medical Care. We are dedicated to continually expanding our programs and services to help ensure we meet the healthcare needs of the communities we serve today and, in the future. 23 North is a 52- bed semi-private unit that serves a broad spectrum of medical needs. Patient length of stay is typically under one week. You will be part of a dynamic team that thrives on shared governance, ensuring that our core values of "Patient Always" and "One Team" are at the center of care. Our multi-skilled patient care providers pride themselves in the delivery of outcome oriented and safe...

Dec 09, 2023
IH
Registered Nurse (RN) Unit Supervisor - Medical Surgical ICU
Inova Health System Alexandria, VA, USA
We are seeking a full time experienced Registered Nurse Unit Supervisor for the Medical Surgical Intensive Care Unit at Inova Alexandria Hospital. This is a night shift position 3 x 12-hour shifts 7p-7a. Candidates are eligible to receive a competitive sign on bonus. Those relocating from more than 50 miles away will also be eligible for relocation assistance. The MSICU is a 20-bed unit, 2:1 ratio. Patient population includes cardiopulmonary failure, adult respiratory distress syndrome (ARDS), sepsis, multi-organ dysfunction, Pulmonary hypertension, Pulmonary thrombosis, Shock syndrome(s), renal failure. advanced medical conditions & co-morbidities, post-op complicated surgical cases. Inova Alexandria Hospital is a 318-bed community hospital that offers a full range of healthcare services and has received . From babies to seniors, Inova Alexandria Hospital Provides World-Class Medical Care. We are dedicated to continually expanding our programs and services to help ensure...

Dec 09, 2023
ST
Full Time
 
CDIS I
Standard Technology Portsmouth, VA, USA
Medical Coding Modernization Specialist (CDIS) This position will support coding operations and compliance as part of the Medical Modernization Program. The CDIS will conduct internal audits; monitor coding practices and documentation deficiencies to identify, develop, deliver training and monitor effectiveness of efforts to ensure improvement to documentation, coding completion, timeliness and accuracy rates for the MTF. Mandatory Knowledge and Skills. · Knowledge of The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-CM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and physiology, pharmacology, and disease processes to perform the duties described. Knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); Ambulatory Payment...

Dec 08, 2023
AC
Inpatient Medical Coder
Aston Carter Arlington, VA, USA
Description: + Required: + Certified Coding Specialist (CCS) required. + Five years of coding, compliance regulations, and audit procedures experience required. + Preferred: + Five years of experience with PCS, ICD-10 CM, DRG, encoders and groupers, and internet-based coding preferred. + High School diploma or equivalent preferred. + Responsibilities + Selects and codes diagnoses and procedures from inpatient and outpatient records. + Keys information into the ABS and Grouper systems. + Performs specialty tasks assigned to the Coding Section involving screening and reporting of data to medical staff committees and legally mandated registries. + Meets productivity goals and organizes varied tasks assigned in a manner that assures deadlines are met. + Works on special studies with Director as delegated through the Clinical Reimbursement Manager. Skills: Medical Coding, Inpatient records, ICD-10, CPC, Certified Coding Specialist...

Dec 08, 2023
In
Registered Nurse (RN) Unit Supervisor - Medical/Surgical - Days
Inova Alexandria, VA, USA
Job Description The Inova Alexandria Hospital is seeking a Full-time Registered Nurse Unit Supervisor for our Medical/Surgical Unit. This is a 12 hrs. (3x) days shift. Inova Alexandria Hospital is a 318-bed community hospital that offers a full range of healthcare services and has received national recognition for healthcare excellence. From babies to seniors, Inova Alexandria Hospital Provides World-Class Medical Care. We are dedicated to continually expanding our programs and services to help ensure we meet the healthcare needs of the communities we serve today and, in the future. 23 North is a 52- bed semi-private unit that serves a broad spectrum of medical needs. Patient length of stay is typically under one week. You will be part of a dynamic team that thrives on shared governance, ensuring that our core values of "Patient Always" and "One Team" are at the center of care. Our multi-skilled patient care providers pride themselves in the delivery of outcome oriented and...

Dec 08, 2023
Me
Remote Medical Coder
Medix Dhs, VA, United States, VA, USA
Overview: Coders will need to build a good relationship with the providers, have really in depth knowledge of continuum of care/CMS guidelines, and be able to communicate the official source coding guidelines to providers. The complex surgeries really across all sub-specialties within Ortho, including spine, trauma, sports medicine, ENT, podiatry, etc. Credentials: CPC (required), COSC (Preferred), Have to have coded a minimum of five years of complex ortho coding with their most recent employer. 3-5 Must Have Skills/Qualifications - 5+ Years of Coding Complex Ortho Surgery Experience - CPC Certification - Expertise in Complex Surgery Coding - Able to Cite Official Sources (IE: CMS) for their Codes Schedule/Shift Monday - Friday, Between 7A to 7P (40 hours per week)

Dec 08, 2023
WM
Coder
Weirton Medical Center Weirton, west VA, USA
Job Summary Provides coding support to primary care and medical specialties. Reviews and codes operative reports and evaluation and management services for multiple physician practices, and perform some charge capture activities. Resolves complex coding scenarios, provides feedback and coding/documentation advice to clinical and administrative staff, and assists with the resolution of coding related denials. Assist in providing updated insurance information. Maintains a system of monitoring timely charge capture and accuracy, and documentation compliance. Review and manage practice Accounts Receivable and identify any significant problems that would delay or result in non-payment of claims. Communicate with billing company as required. Demonstrates current knowledge of coding principles.

Dec 08, 2023
BH
Inpatient Complex Coder
Banner Health Appomattox, VA, USA
**Primary City/State:** Mesa, Arizona **Department Name:** Banner Staffing Services-AZ **Work Shift:** Day **Job Category:** Revenue Cycle **Primary Location Salary Range:** $25.03 - $37.55 / hour, based on education & experience In accordance with State Pay Transparency Rules. A rewarding career that fits your life. Banner Staffing Services offers a world of opportunities to make an impact on one of the countrys leading health systems. If youre looking to leverage your abilities you belong at Banner Staffing Services. As part of the **Banner Health Revenue Cycle Team,** there are opportunities within that team. We specialize in Inpatient coding on the facility side. We do not do pro-fee coding. We are a team of 4 Inpatient Coding Managers who cover for each other and report to the Director of Acute Care Coding. These positions offer opportunities for growth both within the coding department, including roles such as Coding Educator, Coding Quality...

Dec 08, 2023
CH
CODER INPATIENT (Remote)
Centra Health Bedford, VA, USA
Job Description Job Description: The Inpatient Coder reviews inpatient medical records and assigns diagnosis and procedure codes using ICD-10. Verifies DRG, working with the Documentation Specialist to ensure accuracy. Abstracts information according to established guidelines. Formulates physician queries to clarify information in medical record. May be required to assist with coding ambulatory surgery records. Qualifications/Education/Licensure: High school graduate or equivalent. Working knowledge of Anatomy & Physiology, Concepts of Disease, Medical Terminology, and Third Party Payer methodologies. One to two years of inpatient coding experience. Computer literacy Excellent verbal and written communication skills General office procedures and equipment Competent, neat and accurate data abstracting. Training/teaching ability Knowledge of outpatient and inpatient health record content Experience in data abstracting and basic knowledge of related billing processes....

Dec 08, 2023
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