29 jobs found in Virginia

Job Description PART TIME POSITION - ONSITE (NOT REMOTE) The HIMS Coder Credentialed codes diagnoses and procedures as documented in each patient medical record according to ICD-10-CM classification system, and assigns the impairment and CMS 13 group codes. The position abstracts information from the medical record and enters into PATCOM and UDS Proware and establishes an accurate and comprehensive data base all within the JCAHO standards, professional and regulatory agency guidelines, UHDDS guidelines and our policies. Job code: 100544 Qualifications PART TIME POSITION - ONSITE (NOT REMOTE) POSITION REQUIREMENTS AND ESSENTIAL JOB FUNCTIONS License or Certification: - RHIA or RHIT or CCS preferred Education, Training and Years of Experience: - Graduate of accredited Health Information Technology or Administration Program or completion of AHIMA Independent Study Program or completion of advanced coding classes in ICD-10-CM and CPT4 at an accredited college or vocational school...

Job Description Salary: Medical Practice Management Solutions, (MPMS) is a full-service medical billing and practice management company located in Huntington, WV. MPMS has steadily increased its client base and fully recognizes the fast-growing needs within the medical community. Our staff is comprised of experienced individuals who have extensive expertise in providing service to the healthcare industry. MPMS is committed to maintaining the highest level of support to all of our clients and staff. Our customers include private practice physicians with office and hospital patients in many different specialties. This is an in-person position. Possibility of remote after 1 year of full-time employment. Billing Specialist Duties: * Post patient payment batches. * Working with Workers Compensation carriers to gather needed information. * Ability to use Excel. * Processing returned mail. * Processing patient refunds. * Daily Balancing. * Ability to read an Explanation of Benefits and...

Job Description Salary: Medical Biller / Billing Clerk Job Description : Responsible for maintaining the professional reimbursement program. Ensure compliance with current payments and rules that impact billing and collection. Follow-up of any outstanding A/R all-payers, self-pay, and or the resolution of denials and manage correspondence. Requirements General Accountabilities * Performs billing and computer functions, including patient & third-party billing, data entry and posting encounters. * Prepares and submits clean claims to various insurance companies either electronically or by paper. * Handle the follow-up of outstanding A/R all -payers, including self-pay and/or the resolution of denials. * Answers questions from patients, SGMC staff and insurance companies regarding any issue pertaining to the billing department. * Identifies and resolves patient billing complaints. * Prepares, reviews for accuracy, and send patient statements. * Handle all correspondence related...

How You’ll Help Transform Healthcare: Supervises and monitors a team of Environmental Services personnel within assigned area on a daily basis. Ensures provision of Environmental Services objectives which meet or exceed safety and quality initiatives and customer expectations.     Supervises day-to-day operations of assigned area by prioritizing, coordinating, planning and scheduling staff to meet daily activities, meetings and special event needs. Provides supervision, guidance and technical assistance as needed to employees. Performs daily inspections and tracks frequencies/workflow of activities assigned to Environmental Services employee. Coordinates special projects within assigned area after consultation with Manager. During Emergency situations/incidents, directs the operation of Haz-Mat team within department/facility. Serves as liaison between Environmental Services and other department managers, patients, families and visitors. Responds promptly to requests for...

Job Description Confirm and update benefits coverage and obtain pre-approval for Vascular procedures. Organize patient data and input into databases for insurance reimbursement purposes. In addition to records management and posting claims your duties will include scheduling patients, greeting patients and working with both Athena Health and Express Billing to resolve unprocessed or denied claims. Health insurance specialists must be skilled communicators with the interpersonal skills to interact with carrier representatives, patients, and physicians. Company Description At Virginia Beach Endovascular, we specialize in the care of ESRD and peripheral artery disease (PAD) patients by providing a full range of vascular services using the latest technology. Our highly trained physicians and staff take the commitment to excellence in vascular care as seriously as the diseases that we treat. This dedication has made us one of the premier vascular outpatient centers in the Virginia...

Job Description Professional Services Medical Coding Auditor -- ONSITE Naval Hospital PORTSMOUTH, VAQualified candidate will be responsible for the auditing of medical documentation and codes for professional services for compliance with federal coding regulations and guidelines. This will include the assignment of ICD, Evaluation & Management (E&M), Current Procedure Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and quantities as documented by the physician. Will train and educate Military Treatment Facility provider staff on coding issues and plays a significant role in coding compliance activities. Required Qualifications (Education/Experience) Experience. A minimum of five (5) years medical coding experience in multiple clinical specialties and three (3) years of medical auditing experience within the last eight (8) years is required. Expertise must also include ambulatory surgery coding/auditing for the outpatient auditor...

Job Description We are looking for a detail oriented, energetic, team player to add to our billing team. The ideal candidate will have experience in patient collections, insurance billing and follow up. Minimum of 2 years in medical billing. GYN experience a big plus. A Medical Billing Specialist supports the mission of the practice by providing exemplary customer service and support to practice patients. A Medical Billing Specialist is responsible for ensuring that the financial objectives of the practice are met in a patient friendly and supportive environment. They are responsible for an array of duties that encompass Billing/Insurance/Financial aspects related to the medical practice. This is a collaborative position that requires maintaining the integrity of internal controls through financial and revenue cycle systems. Working closely with the Business Office Supervisor and the Office Manager to maintain appropriate cash management and billing processes/procedures....

Outpatient Certified Medical Coder – ON SITE* As the Outpatient Medical Coder*, you are a part of a nationally recognized, independent health care organization. If you’re ready to explore the next step in your career: You’ll enjoy…* * * Career Opportunities* – Tons of growth opportunities for your career Standard Hours* – 100% in office role – Monday-Friday 8:00AM-4:30PM Competitive Pay* - $21.00-$25.00 an hour Expedited Interviews* – Access to additional Resume support and pre-interview questions * * A day in the role…* * * Coding for three different specialties: supportive care, pulmonary E/M (office visits), and primary care. Verify the encounters are filled out completely, signed by providers, and code the encounters prior to submitting to billing. On average, completing 80-100 E/Ms per day. Working in Athena and Epic systems. Assist as back up for patient phone calls. * * Necessary Skills and Strengths:* Experience in E/M Coding | CPC or CCS...

Job Description Bayview Physicians Group is a rapidly growing outpatient multi-specialty medical group, that strongly believes the doctor-patient relationship is the cornerstone of quality healthcare. We staff more than 600 positions in the Hampton Roads area. Individuals who possess excellent customer service skills, strong collegial relationships, and the desire to promote a positive work environment are encouraged to apply. We offer a competitive benefits package to our full time employees and we are always accepting applications from qualified candidates. Duties & Responsibilities: * Track claims with insurance companies. * Active follow up with insurance companies for outstanding unpaid claims. * Work unpaid claims and credit reports. * Research and process rejected or suspended claims * File appeals and documentation to insurance companies for payment reconsideration * Audit patient accounts to determine when refund are due, as well as request refund * Assist patients...

Job Description Bayview Physicians Group is a rapidly growing outpatient multi-specialty medical group, that strongly believes the doctor-patient relationship is the cornerstone of quality healthcare. We staff more than 600 positions in the Hampton Roads area. Individuals who possess excellent customer service skills, strong collegial relationships, and the desire to promote a positive work environment are encouraged to apply. We offer a competitive benefits package to our full time employees and we are always accepting applications from qualified candidates. Duties & Responsibilities: * Reviews and audits daily charge tickets for correct CPT, ICD-10 abd HCPCS for office, hospital, nursing home and surgery for posting. * Assists with pre and post audits. The various auditing duties are related to physician practice management and coding to maintain compliance with payer reimbursement policies and governmental regulations as well as Medicare/ CMS guidelines. * Monitors progress...

Job Description Capital Area Pediatrics offers accessible, comprehensive pediatric care to families at five practice locations throughout Northern Virginia. For both sickness and health, generations of families have chosen Capital Area Pediatrics to provide outstanding care and an exceptional patient experience. We are currently hiring a Medical Biller to join our team. This is an on-site position located at our Central Business Office in Oakton, Virginia. In this role you will * Complete all charge entry duties as assigned on a daily basis according to productivity requirements. * Back-up and assist other billing department staff as required. * Examining documents for missing information and ensuring documents are accurate. * Review provider documentation for support of clinician-selected ICD-10, CPT, and HCPCS codes. * Extracting relevant information from patient records. * Liaising with physicians and other parties to clarify information. * Performing chart audits. * Advising...

Job Summary Welcome to a promising future with this unique career opportunituy. At Carilion Clinic, our team provides accurate medical record documentation in a forward-thinking environment. You will thrive through extensive training, supportive leaders and potential for advancement. Carilion offers comprehensive benefits, paid time off, and tuition options. Join a team where your skills and ideas will make a difference in the health of our patients and the communities we live in. The Inpatient Coder is responsible for concurrent or retrospective coding of inpatient accounts, using ICD-10 CM coding guidelines. Requires daily consultation with physicians to ensure accurate capture of the principal diagnoses and procedure, and Present on Admission Indicators to ensure proper APRDRG, APDRG or DRG assignment for reimbursement and clinical reporting. Acts as a documentation improvement consultant with the physicians, and assists them with correct documentation for coding and...

Job Description Salary: Medical Practice Management Solutions, (MPMS) is a full-service medical billing and practice management company located in Huntington, WV. MPMS has steadily increased its client base and fully recognizes the fast-growing needs within the medical community. Our staff is comprised of experienced individuals who have extensive expertise in providing service to the healthcare industry. MPMS is committed to maintaining the highest level of support to all of our clients and staff. Our customers include private practice fee-for-service physicians with office and hospital patients in many different specialties. General Purpose of Position: * Research and resolve issues with claim rejections and/or other billing issues. * Assist patients with questions they may have regarding their account. * Process accounts for collections. * Manage accounts to ensure days in AR are below goal. Educational Requirements: * College degree or an equivalent combination of education...

Job Summary Welcome to a promising future with this unique career opportunituy. At Carilion Clinic, our team provides accurate medical record documentation in a forward-thinking environment. You will thrive through extensive training, supportive leaders and potential for advancement. Carilion offers comprehensive benefits, paid time off, and tuition options. Join a team where your skills and ideas will make a difference in the health of our patients and the communities we live in. The Inpatient Coder is responsible for concurrent or retrospective coding of inpatient accounts, using ICD-10 CM coding guidelines. Requires daily consultation with physicians to ensure accurate capture of the principal diagnoses and procedure, and Present on Admission Indicators to ensure proper APRDRG, APDRG or DRG assignment for reimbursement and clinical reporting. Acts as a documentation improvement consultant with the physicians, and assists them with correct documentation for coding and...

How You’ll Help Transform Healthcare: The Outpatient Coder is responsible for coding diagnoses and procedures of Outpatient Diagnostic and Hospital-based Clinic records using ICD-10-CM coding system. Identifies cases which do not meet medical necessity and consults with ordering physicians for additional information to appropriately code the account for compliance and reimbursement. Responsible for maintaining a working knowledge of CMS and other payer guidelines. OP Organization-wide volume totals approximately 290,000 - 300,000 accounts per year. The primary job duties of the Coder-Outpatient includes, but is not limited to, the following:   Performs ICD-10-CM coding of Outpatient and Hospital-based clinic records, assigning and sequencing codes according to official coding guidelines. Identifies accounts in which the diagnosis provided does not support medical necessity for the diagnostic procedure performed and acts as the first line of consultation to the physician to...

Medical Biller Reston, VA MUST: The Medical Biller will have experience: 2+ years of Medical Billing experience Must have experience with full cycle medical billing Knowledge of CPT and ICD-9 codes Must understand and follow HIPAA guidelines Have ability to multi-task Reliable and hard-working candidate that can work independently DUTIES: The Medical Biller will be responsible for but not limited to the following: Charge posting including demographic and insurance entry Appeals, diagnosis linkage issues, modifiers, NCCI, global periods Actively working and researching claim denials and contacting payers for timely payment resolution. Work accounts receivable and file claims appeals Able to post charges and adjustments to patients account Understanding the different reasons/ways to appeal denied claims Post and process patient's payment to their account Strong knowledge of most insurance carriers Calculate fee schedules Post charges and...

POSITION IS 100% ONSITE NAVAL HOSPITAL CLINIC QUANTICO, QUANTICO, VAThe Ambulatory Medical Coding Auditor is responsible for the auditing of medical documentation and codes for compliance with federal coding regulations and guidelines. This will include the assignment of ICD, Current Procedure Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and quantities as documented by the physician. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. Must be able to satisfy the eligibility requirements for obtaining a government issued security clearance (US citizenship is required). Requires a physical, proof of immunization, including COVID vaccination and annual immunizations such as TB testing and flu shots. Must successfully pass a coding assessment and credential verification.Mandatory knowledge and skills • Knowledge of auditing concepts and principles. • Advanced knowledge of...