Medical Coding Education Associate Elevance Health IncMedical Coding Education AssociateNorfolk, VA$58,000–$91,350 / yearRequires current, valid, active, and unrestrictive RHIA certification as a Registered Health Information Administrator and/or RHIT certification as a Registered Health Information Technician and/or CCS as a Cert Coding Specialist and/or CPC Cert Professional Coder. Provide providers with comprehensive feedback on current year coding guidelines and industry expertise, facilitated through phone and email correspondences to ensure that provider understands coding and documentation guidelines for the applicable concept(s).
Noncredit Allied Health Instructor: Medical Coding and Billing VIRGINIA COMMUNITY COLLEGE SYSTEMNoncredit Allied Health Instructor: Medical Coding and BillingHampton, VA$35–$55 / hourPosting 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 Agency Website vpcc.edu Teaching schedules may include day, evening, weekend, and distance education classes based on course schedules and instructor availability.
Medical Coding Specialist I Sentara Healthcare IncMedical Coding Specialist IVirginia Beach, VARequired: 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.
Medical Coding Specialist I Sentara HospitalsMedical Coding Specialist IVirginia Beach, VirginiaRequired: 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).
Noncredit Allied Health Instructor: Medical Coding and Billing Commonwealth of VirginiaNoncredit Allied Health Instructor: Medical Coding and BillingHampton, VAVirginia Peninsula Community College seeks experienced and nationally certified professionals to teach noncredit Medical Coding and Billing classes in the College's Workforce Development Division. Contracts may include a combination of teaching contact hours, classroom preparation and closure activities; curriculum design and lesson preparation; participant advising and support; and participant assignment assessment and evaluation.
Coding Specialist Chesapeake Regional HealthcareCoding SpecialistChesapeake, VirginiaPrevious healthcare billing, coding and follow-up experience, ability to operate copier, FAX machine and computer, must have excellent organizational, communication and interpersonal skills, must have the ability to set priorities and manage varying workload. Process patient Accounts Receivable, insurance carrier Explanation of Benefits (EOB), denials and documentation requests as needed.
Compliance Coding Auditor Sentara HospitalsCompliance Coding AuditorNorfolk, VirginiaRemoteThe 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.
Compliance Coding Auditor Sentara Healthcare IncCompliance Coding AuditorNorfolk, VARemoteThe 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.
NewManager of DRG Coding & Clinical Validation Audit Elevance Health IncManager of DRG Coding & Clinical Validation AuditNorfolk, VA$115,020–$207,216 / yearPreferred Skills, Capabilities and Experiences: Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. The Managers of DRG Coding & Clinical Validation leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis-Related Group (DRG) assignments.
Coding Specialist HIM Senior Chesapeake Regional HealthcareCoding Specialist HIM SeniorChesapeake, VirginiaRemoteThe Senior Coding Specialist is responsible for accurately assigning and sequencing ICD diagnostic and procedural codes and/or CPT procedural codes to inpatient and outpatient records. Abstract medical data from the record to complete a discharge abstract on each inpatient, ambulatory surgery, emergency room, outpatient, and ancillary visit, completing and verifying diagnostic and demographic information.
Senior Coding Specialist Chesapeake Regional HealthcareSenior Coding SpecialistChesapeake, VirginiaThe Senior Coding Specialist is responsible for accurately assigning and sequencing ICD diagnostic and procedural codes and/or CPT procedural codes to inpatient and outpatient records. Abstract medical data from the record to complete a discharge abstract on each inpatient, ambulatory surgery, emergency room, outpatient, and ancillary visit.
Risk Adjustment Coding & Documentation Specialist Sentara Healthcare IncRisk Adjustment Coding & Documentation SpecialistVAOne 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).
Medical Coding Education Associate Elevance HealthMedical Coding Education AssociateNorfolk, VirginiaThe Medical Coding Education Associate is responsible for comprehensive analysis of claims data to generate refined and industry-relevant concepts that govern the prosperity of the company across all business lines and client interaction Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. 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.
NewRisk-Adjustment Coding Consultant (Hybrid/Remote) HumanaRisk-Adjustment Coding Consultant (Hybrid/Remote)Virginia Beach, VARemoteHumana Inc is seeking an IPA Consultative Coding Professional to provide medical coding expertise and consultative support to independent providers across Virginia Beach. The ideal candidate will have 3+ years of relevant experience, strong communication skills, and must hold a certification like CCS, CRC, or CPC.
HSCRC Coding Reviewer DOMA TechnologiesHSCRC Coding ReviewerVIRGINIA BEACH, VARemote$40–$45 / hour5 years of relevant experience performing complex coding; quality assurance, training, appeals, and/or auditing services involving ICD-10-CM/PCS, CPT/HCPCS, DRG/APRDRG, and/or other coding, classification, and/or payment systems pertinent in the healthcare industry, including but not limited to, State of Maryland, in particular. The HSCRC Coding Reviewer will be a subject matter expert in clinical documentation review, clinical data abstraction, clinical coding, auditing, and variables impacting HSCRC payment methodologies that are based in medical record documentation.
Provider Reimbursement Admin Sr- Behavior Health- Coding Elevance HealthProvider Reimbursement Admin Sr- Behavior Health- CodingNorfolk, VirginiaRequires a BA/BS degree and a minimum of 4 years related experience; or any combination of education and experience, which would provide Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. 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.
Provider Reimbursement Manager- Behavior Health -Coding Elevance HealthProvider Reimbursement Manager- Behavior Health -CodingNorfolk, VirginiaWe 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. Prepares and presents cost of care data analysis to support the regions cost of care Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.
Codes Compliance Inspector City of Hampton VirginiaCodes Compliance InspectorHampton, VA$46,726–$60,744 / yearYOU will improve the quality of neighborhood life and property values by conducting routine inspections and investigating complaints from an assigned district to ensure code compliance with municipal ordinances for zoning, weed and debris control, street numbers, abandoned and inoperative vehicles, signs, and International Code Council (ICC) property/maintenance codes. Training and Career Development: The Employee Education Assistance Program (EEAP) encourages employee development through (1) educational programs leading to a degree, (2) skilled craft or trade training leading to a certificate or license and (3) coursework to renew and update skills.
Emergency Care - Medical Director - Yorktown , {State_Code UsvtaEmergency Care - Medical Director - Yorktown , {State_CodeYorktown, VirginiaAn exceptional veterinary hospital, with a dedicated team, is seeking an experienced Medical Director to lead its emergency department, oversee medical operations, and ensure superior patient and client care in a fast-paced, high-acuity environment. The ideal leader for this hospital is a veterinarian who thrives under pressure, excels in critical decision-making, and is prepared to guide a team through complex emergency and critical care cases.
Nurse AuditorRev Intgty Chesapeake Regional HealthcareNurse AuditorRev IntgtyChesapeake, VirginiaExperience: Senior Level Coding experience of at least five years recent experience coding in an acute hospital setting required, with coding ability demonstrated via a skills assessment or five years of experience as an intensive care unit, emergency department or documentation specialist nurse auditor. · Receive, review, verify, and process requests for chart audits of inpatient hospitalizations, diagnostic testing, outpatient procedures and services, home health care services, durable medical equipment, rehabilitative therapies, and pharmacy reviews from finance and/or claims department.
Nurse Auditor/Revenue Integrity (FLEXI) Chesapeake Regional HealthcareNurse Auditor/Revenue Integrity (FLEXI)Chesapeake, VirginiaSenior Level Coding experience of at least 20 years or 10 years in a coding management level recent experience coding in an acute hospital setting required, with coding ability demonstrated via a skills assessment or a RN with 20 years of experience as an intensive care unit, emergency department or documentation specialist nurse auditor or an LPN with a combined coding and auditing background. Work and review a high volume of accounts assigned to Revenue Integrity Nurse Auditor work queues for charge review of all observation account documentation to charges, carve-out observation time from procedures, review documentation to charge code injection and infusion charges and the review of ED documentation to assign and charge code appropriate visit levels to ED visits.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)VA$82,232–$155,808 / yearPreferred 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.
Medical Administrative Support Technology Adjunct VIRGINIA COMMUNITY COLLEGE SYSTEMMedical Administrative Support Technology AdjunctPortsmouth, VA$793–$1,375Working Title Medical Administrative Support Technology Adjunct Role Title Medical Administrative Support Technology Adjunct Role Code FLSA Exempt Pay Band UG Position Number 295A0340 Agency Tidewater Community College Division Tidewater Community College (Div) Work Location Portsmouth - 740 Hiring Range $793 - $1,375 per credit hour, 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.
Compliance Auditor Chesapeake Regional HealthcareCompliance AuditorChesapeake, VirginiaParticipates in external government audits, including but not limited to: Centers for Medicare and Medicaid Services (CMS); Office of Inspector General (OIG); Medicaid Fraud Control Unit (MFCU); Virginia Department of Health (DOH); Medicaid Integrity Program Contractor (MIC); Recovery Audit Contractor (RAC); Zone Program Integrity Contractor (ZPIC); Health Care Fraud Prevention and Enforcement Action Team (HEAT). Performs medical record audits of documentation, coding and billing for technical and professional services, including: CPT; ICD10; HCPCII; DRG; APC; APG; Modifiers; Non-Physician Practitioner Documentation (including “incident-to” guidelines), and other services; Conducts audits of electronic and manual documentation, coding, and billing systems.
Emergency Department Physician Essential Healthcare Solutions LLCEmergency Department PhysicianSuffolk, VA$255–$370 / hourCoastal 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.
Medical Administrative Support Technology Adjunct Commonwealth of VirginiaMedical Administrative Support Technology AdjunctPortsmouth, VAAligns 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. Deliver instruction in support of stated learning outcomes; adhere to college policies and procedures for participation in student surveys of instruction; conduct meaningful and timely assessments of student learning, including at least one assessment within the rst 15% of class; and analyze the previous semester's evaluation of instruction and develop and implement appropriate action plans as necessary.
Practice Coordinator James City CountyPractice CoordinatorWilliamsburg, VirginiaAbility 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.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)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.
Patient Account Specialist Eastern Virginia Medical SchoolPatient Account SpecialistNorfolk, VAThe 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.
Medical Coder III (Inpatient Coder) CABAN RESOURCES, LLCMedical Coder III (Inpatient Coder)Portsmouth, VAFull timeQualifications: 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.
Coder RMG Riverside HospitalCoder RMGNewport News, VirginiaRemoteMaintains 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.
Clinical Provider Auditor II - Payment Integrity SIU Elevance Health IncClinical Provider Auditor II - Payment Integrity SIUNorfolk, VA$58,400–$107,740 / yearMinimum Requirements: Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; 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.
Business Analyst III- Medicaid Overpayment Recovery Elevance Health IncBusiness Analyst III- Medicaid Overpayment RecoveryNorfolk, VA$73,600–$110,400 / yearThe Business Analyst III is responsible for leading complex data analysis and mining efforts using claims data and coding methodologies (CPT, HCPCS, DRG, ICD-9, ICD-10) to identify overpayment recovery opportunities, validate findings, and complete supporting documentation. How you will make an impact: Primary duties may include, but are not limited to: Collaborate with internal business partners to gather requirements, lead stakeholder discussions, research Medicare and Medicaid reimbursement guidelines, and request or execute data queries to support recovery initiatives and business decisions.
Psychiatric & Mental Health Nurse Practitioner - Board Certified DHRMPsychiatric & Mental Health Nurse Practitioner - Board CertifiedWilliamsburg, VirginiaThis position is responsible for patient care that includes examination, evaluation, diagnosis and treatment of psychiatric and medical illnesses in collaboration and consultation with a physician as specified in the practice agreement or without collaboration if an autonomous license is obtained. 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).
Primary Care Physician DHRMPrimary Care PhysicianWilliamsburg, VirginiaTo 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.
Accounts Receivable Specialist I Sentara Healthcare IncAccounts Receivable Specialist IVirginia Beach, VARemoteSentara 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.
Compliance Analyst RMG Riverside HospitalCompliance Analyst RMGNewport News, VirginiaRemoteAnalyzes coding related to 1) ensuring work queues are worked timely and accurately and reporting concerns to department managers, and/or Director, 2) identifying trends, 3) conducting root cause analysis of trends, and 4) developing action plans for corrective action. Independently conducts Medical Record audits following official coding guidelines and interprets and applies Federal and State regulations, coding and billing requirements for Baseline, Annual, Post Education and Focused provider chart reviews.
Medical Scribe CVS Health CorpMedical ScribePortsmouth, VA$17–$28.46 / hourResponsibilities: 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].
Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor) VIRGINIA COMMUNITY COLLEGE SYSTEMHealth Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor)Suffolk, VA$30–$100 / hourWorking 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 $30-$100 per hour, 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.
NewAR Specialist I Sentara Healthcare IncAR Specialist IVAThe AR Specialist I should possess strong attention to detail, excellent communication skills, and a solid understanding of healthcare billing practices and payer systems. This role involves ensuring accurate and timely collection of payments from consumers, insurance companies, and other payers.
Regional Physician Advisor Position (Eastern/Peninsula) Coastal Virginia Near the Beach Sentara Healthcare IncRegional Physician Advisor Position (Eastern/Peninsula) Coastal Virginia Near the BeachWilliamsburg, VAExpectations 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. Sentara Williamsburg Regional Medical Center, a Certified Primary Stroke Center, has 145 licensed beds and features the latest healthcare technologies, serving the region with the life-saving capabilities of an ultra-modern medical center.
NewPhysician Advisor - Sentara Virginia Beach General Hospital Sentara Healthcare IncPhysician Advisor - Sentara Virginia Beach General HospitalVirginia Beach, VAThe 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. Overview: Overview: The Physician Advisor conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers, writing appeal letters) in support of the centralized system Utilization Review (UR) process for Sentara hospital facilities.
Physician Advisor - Sentara Princess Anne Sentara Healthcare IncPhysician Advisor - Sentara Princess AnneVirginia Beach, VASentara 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.
Physician Advisor - Sentara Obici Hospital Sentara Healthcare IncPhysician Advisor - Sentara Obici HospitalSuffolk, VAAs 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.
Physician Advisor - Sentara Virginia Beach General Hospital Sentara HospitalsPhysician Advisor - Sentara Virginia Beach General HospitalVirginia Beach, VirginiaThe 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. The Physician Advisor conducts timely and compliant medical necessity reviews and assists with denials management (facilitating and completing peer to peers, writing appeal letters) in support of the centralized system Utilization Review (UR) process for Sentara hospital facilities.
Physician Advisor - Sentara Obici Hospital Sentara HospitalsPhysician Advisor - Sentara Obici HospitalSuffolk, VirginiaThe 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.
Credit Resolution Specialist Children's Hospital of The King's DaughtersCredit Resolution SpecialistNorfolk, VAMinimum of one year credit resolution, customer service and document imaging acquired in a hospital patient account department, physician office or medical services organization. This role analyzes the account, confirms current charges have been properly adjudicated, and verifies that the payment by the payer and patient is accurate.
Medical Scribe - Training provided! Full benefits, no weekends, paid holidays! Eye Care Partners Career OpportunitiesMedical Scribe - Training provided! Full benefits, no weekends, paid holidays!Norfolk, VA$18–$20 / hourOur national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum.
NewRisk Adjustment Strategic Manager Elevance Health IncRisk Adjustment Strategic ManagerNorfolk, VA$102,960–$185,328 / yearThe 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.
RN Clinical Documentation Manager Chesapeake Regional HealthcareRN Clinical Documentation ManagerChesapeake, VirginiaThis position requires critical thinking, problem solving, ability of managing multiple priorities, able to work with little or minimum direct supervision, excellent writing skills, clear and accurate verbal communication skills, and ability to work in appropriate computer software. The Clinical Documentation Manager works collaboratively with physicians to ensure clinical information in medical records is present and accurate and works with the coding staff to support that appropriate clinical severity is captured for the level of service rendered to all patients.