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JobsJobs in VirginiaJobs in Hampton, VAHealthcare Jobs in Hampton, VAMedical Billing and Coding Jobs in Hampton, VACoding Jobs in Hampton, VA
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Coding Jobs in Hampton, VA

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    C

    Architecture Software Engineer (Engineer Software 3) - 26956 Company Confidential

    Architecture Software Engineer (Engineer Software 3) - 26956
    Suffolk, VA23 days ago
    • $96,951–$120,000
    • Full-time
    • Employee

    5 years experience with Bachelors in related field; 3 years experience with Masters in related field; 0 years experience with PhD or Juris Doctorate in related field; or High School Diploma or equivalent and 9 years relevant experience. Mission Technologies, a division of Huntington Ingalls Industries, is seeking an Architecture Software Engineer to support the Joint Training Synthetic Environment (JTSE) for the Joint Staff J7 (JS J 7) at our Suffolk, VA Joint Staff Complex.

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    Optimization Team Lead (Engineer Software 3) - 26945 Company Confidential

    Optimization Team Lead (Engineer Software 3) - 26945
    Suffolk, VA23 days ago
    • $96,951–$120,000
    • Full-time
    • Employee

    5 years relevant experience with Bachelors in related field; 3 years relevant experience with Masters in related field; 0 years experience with PhD or Juris Doctorate in related field; or High School Diploma or equivalent and 9 years relevant experience. Our capabilities range from C5ISR, AI and Big Data, cyber operations and synthetic training environments to fleet sustainment, environmental remediation and the largest family of unmanned underwater vehicles in every class.

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    Software Engineer (Engineer Software 2) - 28263 Company Confidential

    Software Engineer (Engineer Software 2) - 28263
    Suffolk, VA23 days ago
    • $78,405–$90,000
    • Full-time
    • Employee

    Our workforce includes skilled tradespeople; artificial intelligence, machine learning (AI/ML) experts; engineers; technologists; scientists; logistics experts; and business administration professionals. As a trusted partner to our military customers, HII designs, develops and operates the largest LVC enterprise that prepares warfighters for cross-domain battle.

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    Software Engineer (Entry-Senior) - Navy Training & Simulation Systems - 28027 Company Confidential

    Software Engineer (Entry-Senior) - Navy Training & Simulation Systems - 28027
    Virginia Beach, VA23 days ago
    • $70,000–$145,000
    • Full-time
    • Employee

    HII Mission Technologies is seeking Software Engineers across multiple experience levels (Entry through Senior) to support the design, development, and deployment of the Advanced Training Domain (ATD) System—a mission‑critical U.S. Navy combat systems trainer. Our workforce includes skilled tradespeople; artificial intelligence, machine learning (AI/ML) experts; engineers; technologists; scientists; logistics experts; and business administration professionals.

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    HIMS Coding Auditor Riverside Hospital

    HIMS Coding Auditor
    Newport News, Virginia30+ days ago
    Remote

    Assists with DRG and certain CPT denials from payers as needed and writes appeals as indicated, documenting the denial/audit in denial management tool for tracking and reports. Certified Cardiac Device Specialist (CCDS) - International Board of Heart Rhythm Examiners CCDS or CDIP Clinical Documentation Improvement Professional Upon Hire (Preferred) or.

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    Medical Coding Specialist II Sentara Hospitals

    Medical Coding Specialist II
    Virginia Beach, Virginia9 days ago

    This role collaborates closely with providers, clinical teams, and revenue cycle partners to support operational excellence, optimize reimbursement, and maintain coding integrity across healthcare services. This role requires a comprehensive understanding of the entire billing cycle, including medical terminology, coding principles, charge entry, insurance adjudication, contractual agreements, payment posting, statements, and collections.

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    Noncredit Allied Health Instructor: Medical Coding and Billing VIRGINIA COMMUNITY COLLEGE SYSTEM

    Noncredit Allied Health Instructor: Medical Coding and Billing
    Hampton, VA30+ days ago

    Significant work experience within the field and occupation Demonstrated ability to perform tasks within the field and occupation Knowledge of all applicable topics, skills, and trends within the field and occupation Industry certifications within the field and occupation Excellent communication and interpersonal skills Prior experience delivering or developing training Knowledge of and ability to use a variety of software, including word processing, presentation, spreadsheet, database, and communication packages Operation of a State Vehicle. Posting Number: ADJ_2414P Recruitment Type: General Public - G Number of Vacancies: 1 Position End Date: if temporary Job Open Date: 02/10/2026 Job Close Date: 12/31/2026 Open Until Filled: Yes Agency Website: vpcc.edu

    Sentara Healthcare Inc logo

    Medical Coding Specialist I Sentara Healthcare Inc

    Medical Coding Specialist I
    Virginia Beach, VA30+ days ago

    Required: Minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD-10), Heath Care Common Procedure Coding System (HCPCS) and Modifier Coding preferred. Experience: Minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD-10), Heath Care Common Procedure Coding System (HCPCS) Modifier Coding preferred.

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    Medical Coding Specialist I Sentara Hospitals

    Medical Coding Specialist I
    Virginia Beach, Virginia21 days ago

    Required: minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD-10), Heath Care Common Procedure Coding System (HCPCS) and Modifier Coding preferred. minimum of 3 years of multi-specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD-10), Heath Care Common Procedure Coding System (HCPCS) .

    Sentara Healthcare Inc logo

    Medical Coding Specialist II Sentara Healthcare Inc

    Medical Coding Specialist II
    Virginia Beach, VA22 days ago

    This role requires a comprehensive understanding of the entire billing cycle, including medical terminology, coding principles, charge entry, insurance adjudication, contractual agreements, payment posting, statements, and collections. This role collaborates closely with providers, clinical teams, and revenue cycle partners to support operational excellence, optimize reimbursement, and maintain coding integrity across healthcare services.

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    Noncredit Allied Health Instructor: Medical Coding and Billing Commonwealth of Virginia

    Noncredit Allied Health Instructor: Medical Coding and Billing
    Hampton, VA30+ days ago

    Additional Considerations: • Significant work experience within the field and occupation • Demonstrated ability to perform tasks within the field and occupation • Knowledge of all applicable topics, skills, and trends within the field and occupation • Industry certifications within the field and occupation • Excellent communication and interpersonal skills • Prior experience delivering or developing training • Knowledge of and ability to use a variety of software, including word processing, presentation, spreadsheet, database, and communication packages. Virginia Peninsula Community College seeks experienced and nationally certified professionals to teach noncredit Medical Coding and Billing classes in the Colleges Workforce Development Division.

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    Compliance Coding Auditor Sentara Hospitals

    Compliance Coding Auditor
    Norfolk, Virginia21 days ago
    Remote

    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. Performs 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.

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    Manager of DRG Coding & Clinical Validation Audit Elevance Health Inc

    Manager of DRG Coding & Clinical Validation Audit
    Norfolk, VA30+ days ago
    • $115,020–$207,216 Per Year

    Anticipated End Date: 2026-05-31 Position Title: Manager of DRG Coding & Clinical Validation Audit Job Description: Manager of DRG Coding Audit-Program/Project Locations: The selected candidate must reside within a reasonable commuting distance of the designated posting location(s): Virginia, Indiana, Georgia, Ohio, Maryland; New Jersey, New York and Texas. Alternate locations may be considered if candidates reside within a commuting distance from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

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    Medical Coding Appeals Analyst Elevance Health Inc

    Medical Coding Appeals Analyst
    Norfolk, VA9 days ago

    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. Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.

    Sentara Healthcare Inc logo

    Compliance Coding Auditor Sentara Healthcare Inc

    Compliance Coding Auditor
    Norfolk, VA20 days ago
    Remote

    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. Performs 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.

    Sentara Healthcare Inc logo

    Risk Adjustment Coding & Documentation Specialist Sentara Healthcare Inc

    Risk Adjustment Coding & Documentation Specialist
    VA30+ days ago

    One of the following certifications are required: • Certified Professional Coder (CPC) • Certified Outpatient Coder (COC) • Certified Inpatient Coder (CIC) • Certified Coding Specialist-Physician-based (CCS-P) • Certified Coding Specialist (CCS) • Registered Health Information Technician (RHIT) • Registered Health Information Administrator (RHIA). Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the providers documentation for CMS/HHS Hierarchical Condition Categories (HCC).

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    New!

    Med Coding Appeals Analyst (US) Elevance Health Inc

    Med Coding Appeals Analyst (US)
    Norfolk, VA4 days ago

    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. Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.

    B

    Summer Camp Coding, Digital Arts, or Game Development Assistant Instructor Black Rocket Productions

    Summer Camp Coding, Digital Arts, or Game Development Assistant Instructor
    Norfolk, VA30+ days ago
    • $13–$15 Per Hour

    Strong technology skills are preferred, such as 3D modeling, coding, game creation or design, animation, robotics, modifying games, video editing, digital arts, competitive gaming, significant knowledge of Minecraft or Roblox, etc. 2. No specific formal experience required to apply: We train teachers, college students and content area experts on technology and instruction: You provide the desire to work with children using technology and creativity.

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    Medical Biller - OB/GYN (In Person) Tidewater Physicians for Women

    Medical Biller - OB/GYN (In Person)
    Virginia Beach, Virginia30+ days ago
    • $35,000–$50,000

    Responsibilities:The ideal candidate will play a crucial role in managing billing processes, ensuring accuracy in medical billing and facilitating efficient medical collections. This position requires a solid understanding of medical terminology and coding systems, including ICD-10 and CPT, to support our healthcare operations effectively.

    B

    Medical Coder Bayview Physicians Group

    Medical Coder
    Chesapeake, Virginia8 days ago

    Bayview Physicians Group is a rapidly growing, outpatient multi-specialty medical group that believes exceptional healthcare starts with strong doctor–patient relationships. Whether you’re an experienced coder or an Apprentice ready to grow, this is an exciting opportunity to build your skills within a large, diverse, multi-specialty organization.

    E

    Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health Inc

    Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)
    Norfolk, VA21 days ago
    • $82,232–$155,808 Per Year

    Preferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.

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    Hospital Inpatient Coder (Remote) Guidehouse Inc

    Hospital Inpatient Coder (Remote)
    Virginia Beach, VA30+ days ago
    Remote

    Job Family : Travel Required : Clearance Required : What You Will Do : The Remote Inpatient Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event.

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    Sr. Medical Auditor-REMOTE Regional Business Office (MIDA)

    Sr. Medical Auditor-REMOTE
    Norfolk, Virginia9 days ago
    Remote
    • $28–$38 Per Hour

    Performs paper and EMR chart audits for medical oncology physicians/providers in accordance with The US Oncology Network's requirements in order to ensure medical records are commensurate with captured charges and billing. JOB SCOPE:With general supervision of the State Reimbursement Manager, performs complete medical record chart and coding audits for medical and radiation oncology physicians, per The US Oncology Network's established guidelines.

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    Emergency Department Physician Essential Healthcare Solutions LLC

    Emergency Department Physician
    Norfolk, VA30+ days ago
    • $255–$370 Per Hour

    Coastal Virginia: beaches, low cost of living, military-friendly community, easy access to Norfolk, Virginia Beach, Williamsburg, and the Outer Banks. EHS is pursuing a contract to provide board-certified or board-eligible Emergency Medicine physician coverage at the Hampton VA Medical Center in Hampton, Virginia.

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    Hospital Medical Coder II Children's Hospital of The King's Daughters

    Hospital Medical Coder II
    Norfolk, VA16 days ago

    One year of outpatient coding experience with exposure to day surgery, observation, urgent care, emergency and/or less complex inpatient cases or one or more years in a related health field requiring use of medical knowledge/terminology. This position maybe responsible for coding inpatient records as needed/requested by management; this includes effective use of relevant coding systems as well as recognizing what data can be abstracted, presented and interpreted for effective use throughout the hospital network.

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    Hospital Inpatient Coder (Remote) Guidehouse

    Hospital Inpatient Coder (Remote)
    Virginia Beach, Virginia30+ days ago
    Remote

    The Remote Inpatient Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

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    Practice Coordinator James City County

    Practice Coordinator
    Williamsburg, Virginia30 days ago

    Ability to make independent decisions in accordance with established policies and procedures; learn and use specialized language and technical terms; work under pressure; set priorities, organizes, and performs work independently; work with a variety of professional and paraprofessional staff and volunteers at both the practice and the Board of Directors level; establish and maintain effective working relationships with employees and the public; deal with public relations problems courteously and tactfully. • Maintains the policy and procedures manual ensuring all items are in proper format and that all manuals include the latest version; develops, maintains, and updates a manual with patient-friendly information about various conditions, treatments, etc. to be installed on the network and non-network computers; follows established control procedures for document handling, storage and purging in accordance with applicable laws and regulations.

    E

    Patient Account Specialist Eastern Virginia Medical School

    Patient Account Specialist
    Norfolk, VA30+ days ago

    The Patient Account Specialist is responsible for reviewing charges for accuracy and appropriate usage of ICD10, CPT, and HCPC codes to maximize reimbursement for EVMS Medical Group. • Review clinical documentation to ensure timely, accurate, and compliant charge capture prior to submission.

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    Medical Coder III (Inpatient Coder) CABAN RESOURCES, LLC

    Medical Coder III (Inpatient Coder)
    Portsmouth, VA30+ days ago

    Qualifications: Education: Post-high school education through a university or technical school program resulting in completion of ONE of the following: 1) An Associate's degree or higher in Health Information Management, Healthcare Administration, or a biological science; OR 2) A university certificate in medical coding; OR 3) At least 30 semester hours' university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology; OR 4) Successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) coding certification preparation course for professional services or facility coding that includes medical terminology, anatomy and physiology, health information management concepts, and pharmacology; OR 5) Successful completion of a training course beyond apprentice level for medical technicians, hospital corpsmen, medical service specialists, or hospital training, obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision. Duties: Accurately assigns Evaluation and Management (E&M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, ICD-10 Procedure Coding System (ICD-10-PCS), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation (paper or electronic) for the professional and institutional (facility) components of inpatient facility discharges (stays); inpatient professional services to include attending (also known as "Rounds"), consultations, and concurrent services, and inpatient surgical and anesthesia procedures; and inpatient External Resource Sharing Agreement (ERSA) encounters.

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    Coder RMG Riverside Hospital

    Coder RMG
    Newport News, Virginia8 days ago
    Remote

    Maintains positive provider (physician, physician assistant, and nurse practitioner) relationships as observed from provider comments, informal observation of problem-solving with providers and feedback from Administration. Accurately utilizes the ICD-10-CM classification system and CPT classification system in assigning diagnostic, procedural and complication codes to all claims while meeting billing requirements of various payers.

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    Coder RMG (Labor Pool) Riverside Hospital

    Coder RMG (Labor Pool)
    Newport News, Virginia30+ days ago
    Remote

    Maintains positive provider (physician, physician assistant, and nurse practitioner) relationships as observed from provider comments, informal observation of problem-solving with providers and feedback from Administration. Accurately utilizes the ICD-10-CM classification system and CPT classification system in assigning diagnostic, procedural and complication codes to all claims while meeting billing requirements of various payers.

    E
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    Business Analyst II Elevance Health Inc

    Business Analyst II
    Norfolk, VA6 days ago

    For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position¿ work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions.

    E

    Patient Accounts Specialist Eastern Virginia Medical School

    Patient Accounts Specialist
    norfolk, VA30+ days ago

    Perform duties in the billing division related to all aspects of the revenue cycle to include data entry, denials, patient interaction, patient account research, and insurance follow-up and extracting appropriate CPT and ICD-10 codes. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.

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    PRIMARY CARE PHYSICIAN / PHYSICIAN II Commonwealth of Virginia

    PRIMARY CARE PHYSICIAN / PHYSICIAN II
    Williamsburg, VA22 days ago

    To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.

    S

    Accounts Receivable Specialist II Sentara Hospitals

    Accounts Receivable Specialist II
    Norfolk, Virginia30+ days ago

    Routinely monitors and processes monthly write-offs, charge corrections and reconciliation of claim files for assigned area of responsibility. The Accounts Receivable Specialist is accountable for daily operational tasks associated with revenue cycle accounts receivable.

    Sentara Healthcare Inc logo

    Accounts Receivable Specialist II Sentara Healthcare Inc

    Accounts Receivable Specialist II
    Norfolk, VA30+ days ago

    We offer a variety of amenities to our employees, including, but not limited to: Medical, Dental, and Vision InsurancePaid Annual Leave, Sick LeaveFlexible Spending AccountsRetirement funds with matching contributionSupplemental insurance policies, including legal, Life Insurance and AD&D among othersWork Perks program including discounted movie and theme park tickets among other great dealsOpportunities for further advancement within our organizationPlease Note: The yearly Flu Vaccination is required for employment. Epic strongly preferredHigh School Diploma or EquivalentSentara BenefitsAs the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America''s best large employers.

    Sentara Healthcare Inc logo

    Accounts Receivable Specialist I Sentara Healthcare Inc

    Accounts Receivable Specialist I
    Virginia Beach, VA30+ days ago
    Remote

    Sentara Independence is now an extension of the quality services at Sentara Virginia Beach General Hospital including advanced imaging and physical therapy. The Accounts Receivable Specialist I is responsible for managing the day-to-day operations of the organizations accounts receivable.

    CVS Health Corp logo

    Medical Scribe CVS Health Corp

    Medical Scribe
    Portsmouth, VA30+ days ago
    • $17–$28.46 Per Hour

    Responsibilities: Documenting Patient Encounters ~ 80% Joining the provider in the exam room to observe patient visits Documenting patient encounters in a structured note, including the history of the present illness, assessment, plan, and physical exam Assigning appropriate CPT and ICD-10 codes Preparing After Visit Summaries Consulting with provider to ensure accurate and specific documentation Clinical Documentation Improvement ~ 10% Requesting and reviewing medical records Leveraging Oak Streets population health tools to support clinical documentation improvement Preparing for and supporting Daily Huddles and Clinical Documentation Reviews Consulting with provider on clinical documentation opportunities Administrative support for your provider and care team ~ 10% Placing orders and referrals Addressing tasks Supporting the care team with additional responsibilities related to clinical documentation Other duties as assigned. What we're looking for: Knowledge: Knowledge of medical terminology and common medications, either from a pre-medical degree or prior clinical experience [required] Prior clinical experience, including shadowing and/or volunteering [strongly preferred] Prior scribe or transcription experience [preferred but not required].

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    Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor) VIRGINIA COMMUNITY COLLEGE SYSTEM

    Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor)
    Suffolk, VA30+ days ago

    Working Title Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor) Role Title Role Code FLSA Exempt Pay Band UG Position Number 295A0003 Agency Tidewater Community College Division Tidewater Community College (Div) Work Location Suffolk - 800 Hiring Range Commensurate with qualifications and experience. Aligns course activities with student learning outcomes for the course; employ a variety of active learning strategies to foster student engagement; employ appropriate technology and supporting materials that support course and/or program learning outcomes; and provide students with prompt and meaningful feedback on course activities and assignments, communicating with students in a timely and respectful manner.

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    Accounts Receivable Specialist I Sentara Hospitals

    Accounts Receivable Specialist I
    Virginia Beach, Virginia30+ days ago
    Remote

    Sentara Independence is now an extension of the quality services at Sentara Virginia Beach General Hospital including advanced imaging and physical therapy. The Accounts Receivable Specialist I is responsible for managing the day-to-day operations of the organization's accounts receivable.

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    Physician Advisor - Sentara Princess Anne Sentara Hospitals

    Physician Advisor - Sentara Princess Anne
    Virginia Beach, Virginia30+ days ago

    As a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, the hospital specializes in orthopedic and spine care, heart, vascular, advanced imaging, gynecological, comprehensive breast care services, and family maternity with a state-of-the-art neonatal intensive care unit. The Physician Advisor interfaces directly with the medical staff, providing concurrent communication and education to attending physicians (and their APCs) regarding recommended changes in hospital status, pertinent regulatory requirements and guidance impacting the determination, as well as documentation integrity to support medical necessity of services being delivered.

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    Physician Advisor - Sentara Obici Hospital Sentara Hospitals

    Physician Advisor - Sentara Obici Hospital
    Suffolk, Virginia30+ days ago

    The Physician Advisor interfaces directly with the medical staff, providing concurrent communication and education to attending physicians (and their APCs) regarding recommended changes in hospital status, pertinent regulatory requirements and guidance impacting the determination, as well as documentation integrity to support medical necessity of services being delivered. As a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, the hospital specializes in orthopedic and spine, heart and vascular, advanced imaging, gynecological and comprehensive breast services, behavioral health, maternity, weight loss surgery, and a heartburn treatment center.

    Sentara Healthcare Inc logo

    Physician Advisor - Sentara Obici Hospital Sentara Healthcare Inc

    Physician Advisor - Sentara Obici Hospital
    Suffolk, VA30+ days ago

    As a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, the hospital specializes in orthopedic and spine, heart and vascular, advanced imaging, gynecological and comprehensive breast services, behavioral health, maternity, weight loss surgery, and a heartburn treatment center. The Physician Advisor interfaces directly with the medical staff, providing concurrent communication and education to attending physicians (and their APCs) regarding recommended changes in hospital status, pertinent regulatory requirements and guidance impacting the determination, as well as documentation integrity to support medical necessity of services being delivered.

    Sentara Healthcare Inc logo

    Physician Advisor - Sentara Princess Anne Sentara Healthcare Inc

    Physician Advisor - Sentara Princess Anne
    Virginia Beach, VA30+ days ago

    Sentara Princess Anne Hospital is a 174-bed acute care hospital that provides quality clinical outcomes, experienced physicians, advanced technology, and a patient-centered approach to care in southern Virginia Beach, as well as neighboring Chesapeake and Northeastern North Carolina communities. The Physician Advisor interfaces directly with the medical staff, providing concurrent communication and education to attending physicians (and their APCs) regarding recommended changes in hospital status, pertinent regulatory requirements and guidance impacting the determination, as well as documentation integrity to support medical necessity of services being delivered.

    Sentara Healthcare Inc logo

    Regional Physician Advisor Position (Southeast) Coastal Virginia Near the Beach Sentara Healthcare Inc

    Regional Physician Advisor Position (Southeast) Coastal Virginia Near the Beach
    VA30+ days ago

    Perform timely and compliant third level medical necessity site of service/status reviews, providing clear documentation of the pertinent details of the case to satisfy regulatory requirements • Facilitate denials management through review of selected cases, conducting peer to peer discussion with third party payers as appropriate, and assisting with appeals letters as appropriate • Work closely with hospital leadership, medical staff, and hospital ICM leaders to support system CPIs and initiatives • Actively participate in Hospital UM committees at designated sites • Supervise Physician Advisor staff • Recruit and mentor Physician Advisors • Participate in training and continuing education for the Physician Advisor program • Present educational topics to medical staff, administration, leadership and peers • Complete evaluations of staff Physician Advisor work product • Attend continuing education pertaining to utilization and quality management • Additional functions as deemed appropriate and warranted. Due to regulatory requirements, this role requires an active and unrestricted Virginia medical license, thorough understanding of the Medicare regulatory requirements as they relate to hospital UR activities and medical necessity criteria/tools, high level of proficiency working within Epic (EMR), and a working knowledge of clinical documentation integrity and hospital coding/billing practices.

    Sentara Healthcare Inc logo

    Regional Physician Advisor Position (Eastern/Peninsula) Coastal Virginia Near the Beach Sentara Healthcare Inc

    Regional Physician Advisor Position (Eastern/Peninsula) Coastal Virginia Near the Beach
    VA30+ days ago

    Expectations for this Role: The Regional Physician Advisor supports the Clinical Revenue Cycle's Utilization Review and Denials/Appeals processes to determine and secure appropriate level of care assignments to ensure compliant billing, assist with denials management, support documentation integrity as it pertains to accurate coding capture. The Regional Physician Advisor interfaces with hospital and medical staff leadership, facilitating communication between Revenue Cycle leadership and processes and the hospital facilities and championing processes and initiatives.

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    Physician Billing Representative Children's Hospital of The King's Daughters

    Physician Billing Representative
    Norfolk, VA21 days ago

    This role requires an Associates degree in a related field and/or 3 years of work experience withICD-10/CPT coding,third party payer insurance, and billing processes. ESSENTIAL DUTIES AND RESPONSIBILITIES Monitors billing processes, accounts receivable, collections, data entry and assures accurate, timely and compliant coding and submissions.

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    Kiosk Greeter Hampton Roads Community Health Center

    Kiosk Greeter
    Norfolk, VA9 days ago

    Under the general supervision of the Patient Access Manager, the Kiosk Greeter will maintain confidentiality and professionalism while greeting patients, assisting with appointment check-in through the kiosk system, and ensuring a smooth and efficient patient flow throughout the health center. Healthcare Management - Knowledge of patient scheduling, insurance verification, medical and dental billing, coding, and assisting with revenue cycle management services to include specific knowledge of patient focused healthcare.

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    Risk Adjustment Strategic Manager Elevance Health Inc

    Risk Adjustment Strategic Manager
    Norfolk, VA3 days ago
    • $102,960–$185,328 Per Year

    The Risk Adjustment Strategic Manager is responsible for overseeing the day-to-day operations and strategic execution of enterprise risk adjustment programs, including prospective and retrospective initiatives, provider engagement and education, data submissions, vendor oversight, and audit readiness. This role serves as a strategic partner to business leadership by driving operational excellence, ensuring compliance with Centers for Medicare & Medicaid Services (CMS) requirements, and supporting initiatives that optimize revenue integrity and program performance.

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    Medical Scribe - Paid training, full benefits, no weekends, paid local travel! Tidewater Eye Centers

    Medical Scribe - Paid training, full benefits, no weekends, paid local travel!
    Portsmouth, VA18 days ago

    Strong fine motor skills and full use of hands are essential, as the role demands constant grasping, writing/typing, and use of technology. Ensure that accurate procedure coding/charges for all procedures/drugs for all patients and correct diagnosis codes are used.

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