Inpatient Coding Specialist Jenn Nguyen and FriendsInpatient Coding SpecialistRichmond, VirginiaAssign, sequence, validate, and/or edit ICD-10-CM and ICD-10-PCS codes and DRGs for acute care inpatient records across multiple facilities. Our team plays a critical role in ensuring clinical documentation integrity, accurate reimbursement, and compliance across large-scale healthcare systems.
Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantRichmond, VAIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.
Physician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorVARemote$57,400–$99,000 / yearThe Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Senior Manager, Product Management - Developer Experience, AI Coding Tools & Developer Research Capital One Financial CorpSenior Manager, Product Management - Developer Experience, AI Coding Tools & Developer ResearchRichmond, VA$182,500–$208,300 / yearBasic Qualifications: Currently has, or is in the process of obtaining one of the following with an expectation that the required degree will be obtained on or before the scheduled start date: A Bachelor's or Master's Degree in a quantitative field (Statistics, Economics, Operations Research, Analytics, Mathematics, Computer Science, Computer Engineering, Software Engineering, Mechanical Engineering, Information Systems or a related quantitative field), Business or Marketing. You'll define the metrics that engineering leaders use to invest, build data products that quantify developer productivity, and shape how the enterprise measures the impact of AI coding tools on the software development lifecycle.
Senior Lead Data Engineer (AWS, Python, Snowflake, Databricks, AI-Assisted Coding Tools) Capital One Financial CorpSenior Lead Data Engineer (AWS, Python, Snowflake, Databricks, AI-Assisted Coding Tools)Richmond, VA$229,900–$262,400 / yearShare your passion for staying on top of tech trends, experimenting with and learning new technologies, participating in internal & external technology communities, and mentoring other members of the engineering community. We build data-driven tools that use machine learning to prevent risks & automatically detect issues before they impact our customers, our business, or our communities.
Building & Code Compliance Inspector ECS LtdBuilding & Code Compliance InspectorRichmond, Virginia$68,000–$105,000 / yearThis position also involves project management of code compliance projects, including reviewing plans, providing technical support, conducting inspections, monitoring project process for performance and budgetary conditions, proposal preparation, as well as attending project site meetings, and assisting with the resolution of technical and administrative problems . ECS is currently ranked #60 in Engineering News-Record’s Top 500 Design Firms (April 2026), #148 in Engineering News-Record’s Top 200 Environmental Firms (October 2025) and #38 in Zweig Group’s Hot Firm List (June 2026).
Building & Code Compliance Inspector Engineering Consulting Services LtdBuilding & Code Compliance InspectorRichmond, VA$68,000–$105,000 / yearThis position also involves project management of code compliance projects, including reviewing plans, providing technical support, conducting inspections, monitoring project process for performance and budgetary conditions, proposal preparation, as well as attending project site meetings, and assisting with the resolution of technical and administrative problems. ECS is currently ranked #60 in Engineering News-Record's Top 500 Design Firms (April 2026), #148 in Engineering News-Record's Top 200 Environmental Firms (October 2025) and #38 in Zweig Group's Hot Firm List (June 2026).
Insurance & Billing - Denials Specialist Whitewater Eye CentersInsurance & Billing - Denials SpecialistRichmond, VirginiaKey Responsibilities: 1.Prioritize and review denied insurance claims and resolve billing specified to unpaid claims 2.Communicate with management to resolve billing disputes and escalations 3.Review code change requests to determine accurate coding and/or advise coding or billing changes to ensure appropriate reimbursement 4.Contact carriers and patients to maximize reimbursement on accounts to be worked 5.Serve as a point of contact for billing problem solving 6.Respond to correspondence inquiries by phone, mail for resolution 7.Respond to inquiries from staff members regarding patient charges, coding and eligibility 8.Maintain high level of patient confidentiality to ensure compliance with HIPAA regulations 9.Responsible for managing daily billing functions for assigned insurance payer 10.Responsible for submitting accurate coding and billing procedures to obtain appropriate reimbursement for commercial, government, third party payers, and other network entities 11.Post payments and balance unapplied payments from carrier remits, self-pay Physical Activity of Position: •Talking. The Denials Specialist will work closely with insurance payers to go over account receivables, work denials, billing, payment posting, understands policy and guideline changes, recoupment payments, correspondence letters and going over patient balances.
Medical Billing Specialist, Cardiovascular, (Larkspur), Full-Time, Days MarinHealth Medical CenterMedical Billing Specialist, Cardiovascular, (Larkspur), Full-Time, DaysBon Air, CaliforniaMarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)VA$43,888–$102,081 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Financial Operations Analyst Lead - Payment Integrity Datamining Elevance Health IncFinancial Operations Analyst Lead - Payment Integrity DataminingRichmond, VAMinimum Requirements: Requires a BA/BS in accounting or finance and a minimum of 5 years' experience in a finance/health insurance field capacity and experience with relational databases and mainframe and client server report writers; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
NewCharge Audit Analyst Sutter HealthCharge Audit AnalystRichmond, VA$42.41–$63.62 / hourPosition Overview: Responsible for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and coding staff and root cause correction to support accurate charging and coding in compliance with policies. Demonstrated ability to utilize official coding/billing resources including CPT/HCPCS references, OPPS Manual, NCCI Manual, NUBC Manual, etc. to determine applicable charges/codes as documented in the health record.
Charge Master Analyst Sutter HealthCharge Master AnalystRichmond, VA$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Medical Coder Ampcus IncorporatedMedical CoderRichmond, VAYou will work directly within our existing complaint database—not a contractor-managed system—to ensure timely continuity of daily operational workflows. We are seeking experienced Medical Coders to support post-market surveillance and adverse event case processing tied to FDA reporting requirements.
NewSpecialist (Tissue Inventory), Surgery, Part-Time, (32 Hour Week), Days MarinHealth Medical CenterSpecialist (Tissue Inventory), Surgery, Part-Time, (32 Hour Week), DaysBon Air, CaliforniaMarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. Serves as a subject matter expert for Champion Tissue Tracking system; participates in perioperative committees such as Value Analysis Team and the Sustainability Purchasing Revenue committee; and, assists Director of Supply Chain and Executive Director of Perioperative Services with contract compliance and negotiating pricing for perioperative tissue/implants.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)Richmond, VA$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
NewRevenue Cycle Specialist Unified Women's Healthcare LLCRevenue Cycle SpecialistVAThrough 815+ clinics, 23 IVF labs, nationwide telehealth capabilities and targeted case management, our 2,700+ independent, affiliated providers deliver comprehensive women's health services and continuously work to implement methods and develop techniques or platforms that improve the healthcare experience. We remain focused on enabling the discovery of new ways for our affiliated providers to deliver the high-quality care experience women deserve, in the ways they most wish to receive it, and collaborate across our community to make our vision a reality.
Visiting Assistant Professor, Health Care Administration, Health Informatics and Information Management Eastern Kentucky UniversityVisiting Assistant Professor, Health Care Administration, Health Informatics and Information ManagementRichmond, VirginiaExpertise in these areas is essential for preparing the next generation of healthcare administrators to navigate complex healthcare systems, ensure accurate and compliant coding practices, support revenue cycle operations, and contribute to data-informed decision-making. The Department of Environmental & Public Health, Administration, and Medical Sciences at Eastern Kentucky University invites applications for a non-tenure track Visiting Assistant Professor position in the Health Care Administration Program for Academic Year 2026-2027.
NewAuthorization Specialist Pulmonary Associates Of Richmond IncAuthorization SpecialistRichmond, VA$18.50–$22 / hourThe Position: PAR is seeking a highly motivated and enthusiastic full-time Authorization Specialist to perform all aspects of authorizing Biologic department procedure, and other tasks related to medical billing claims for the practice. Perform other duties as assigned by provider, supervisor, or member of Administration - for example, cross trained to improve the revenue cycle.
Clinical Data AMS Sr. Consultant DeloitteClinical Data AMS Sr. ConsultantRichmond, VA$120,200–$140,000 / yearThis role owns the health, stability, and compliance posture of a suite of clinical and regulatory R&D platforms - including Axway Secure Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST - across the full engagement lifecycle: implementation, configuration, validation, and steady-state managed services. The team operates at the intersection of IT infrastructure, clinical operations, and quality/regulatory compliance, partnering closely with global business and technology stakeholders to support end-to-end clinical trial data lifecycles from data capture and coding through statistical analysis and submission-ready outputs.