Supervisor, Patient Access Sentara HospitalsSupervisor, Patient AccessVirginiaOur clinical services include advanced imaging, cancer services, cardiovascular care, emergency care, lab services, orthopedics, weight loss services and more, all powered through Sentara eCare®, a comprehensive electronic medical record system. In addition to our hospital, Sentara Health is enhancing access to healthcare services in Northern Virginia with outpatient and imaging centers in Lake Ridge, Lorton, Springfield and Alexandria, Va.
Health & Pharmacy Analytics Lead, Human Resources Commonwealth of VirginiaHealth & Pharmacy Analytics Lead, Human ResourcesCharlottesville, VARemote$110,000–$135,000 / yearThis role leads the reporting lifecycle for cost, utilization, quality, and trend analytics; oversees dashboard and data infrastructure development; and collaborates with internal and external stakeholders, including TPAs, consultants, clinical programs, and university partners (e.g., Hoos Well, UVA Medical Center, UVA Specialty Pharmacy). Eight years of progressive experience in healthcare analytics, pharmacy analytics, population health, health plan operations, actuarial support, healthcare consulting, benefits analytics, or related analytical roles involving interpretation of healthcare claims, utilization, coding, and cost data to support reporting, forecasting, and decision-making.
Provider Reimbursement & Prepay Editing Director Elevance Health IncProvider Reimbursement & Prepay Editing DirectorNorfolk, VA$102,960–$169,884 / yearThe Provider Reimbursement & Prepay Editing Director is responsible for leading key provider reimbursement and prepay editing functions and initiatives across the enterprise and serves as subject matter expert regarding provider reimbursement strategies, reimbursement policy implementation, and claims editing practices. Works with medical directors, contract negotiators, coding teams, cost of care staff, payment integrity partners, and provider relations staff to identify and implement best practice solutions to manage costs and reimburse services appropriately.
Field Reimbursement Manager - Kidney (North Carolina-Virginia) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (North Carolina-Virginia)VA$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Field Reimbursement Manager - Kidney (Capitol - WV, VA, MD) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (Capitol - WV, VA, MD)VA$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Medical Scribe - Training provided! Full benefits, no weekends, paid holidays! EyeCare Partners LLCMedical 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.
Revenue Cycle Analyst Augusta Health CareersRevenue Cycle AnalystFishersville, VirginiaThe objective of the Revenue Cycle Analyst in support of tracking and trending of payer reimbursement will be to assure we are receiving the contractually agreed upon payments from our managed care payers by: Maintaining an updated understanding of each of our main payer contracts, including a high level knowledge of payment provisions for high level discussions. The objective of the Revenue Cycle Analyst in support of sound charging practices will be to assure the accuracy and timeliness of patient revenue by maintaining integrity of the CDM and supports the Charge Master Coordinator by: Uploading new charges, price changes and other coding changes into the HIS system.
Fire Service Technician Johnson Controls International PlcFire Service TechnicianChantilly, VA$26–$35 / hourJohnson Controls, a global leader in thermal management, mission-critical building systems, energy efficiency, and decarbonization, helps customers use energy more productively, reduce carbon emissions, and operate with the precision and resilience required in rapidly expanding industries such as data centers, healthcare, pharmaceuticals, advanced manufacturing, and higher education. Backed by advanced technology, lifecycle services and an industry-leading field organization, we elevate customer performance, turn goals into real-world results and help move society forward.
Provider Reimbursement & Prepay Editing Director Elevance HealthProvider Reimbursement & Prepay Editing DirectorNorfolk, VA$102,960–$169,884 / yearThe Provider Reimbursement & Prepay Editing Director is responsible for leading key provider reimbursement and prepay editing functions and initiatives across the enterprise and serves as subject matter expert regarding provider reimbursement strategies, reimbursement policy implementation, and claims editing practices. Works with medical directors, contract negotiators, coding teams, cost of care staff, payment integrity partners, and provider relations staff to identify and implement best practice solutions to manage costs and reimburse services appropriately.
NewHealth Record and Information Technician l Sentara HospitalsHealth Record and Information Technician lSuffolk, VirginiaAs 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 Health Record and Information Technician I is responsible for maintaining data and statistics to support functions within the department and for the needs of patients, providers, and other applicable entities.
Health Record & Information Tech l Sentara Healthcare IncHealth Record & Information Tech lSuffolk, 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. Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems in the country, with 30,000 employees, 12 hospitals in Virginia and Northeastern North Carolina, and the Sentara Health Plans division which serves more than 1 million members in Virginia and Florida.
NewOutpatient Medical Coder, Part-Time Sierra7Outpatient Medical Coder, Part-TimeMcLean, VAFull timeThe medical coder will access the Veteran Affairs VistA/CPRS system to read and code medical records identified by the Veteran Affairs and enter codes into the approved encoder or other package. The Part- Time Outpatient Medical Coder is responsible for performing remote coding on all outpatient visits and surgical procedures by the Veteran Affairs Health Care System (VAHCS).
NewInpatient Medical Coder - Part Time Sierra7Inpatient Medical Coder - Part TimeMcLean, VAFull timePosition Responsibilities/Duties: Working knowledge of CPT, ICD-10, and DRG assignment and must be able to code PTF charts in ICD-10 Ability to code the minimum per-hour productivity, including the related procedures, with 95% accuracy Active credentials as a certified coder and completion of all requirements to maintain active credentials Ability to follow site-specific coding guidelines that may vary from site to site Formal training in anatomy and physiology, medical terminology, pathology and disease processes, pharmacology, health record format and content, reimbursement methodologies and conventions, rules and guidelines for current classification systems (ICD, CPT, HCPCS) Experience including, but not limited to data validation; analyzing and generating reports; reviewing and abstracting health record information, adhering to coding compliance, and ensuring that CPT/AMA and ICD codes and modifiers support clinical and physician documentation for proper and consistent data collection and reimbursement Familiarity with ICD nomenclature, CPT, SNOMED, HCPCS, JCAHO, DSM, DRC, medical and procedural terminology, anatomy and physiology, laboratory results, and disease processes Must be familiar with coding in VIP as well as the 101, 401, 501, 601, and 701 Screens Performs other related duties as assigned The Inpatient Medical Coder will provide support to the Department of Veterans Affairs by analyzing and abstracting patient health records, then assigning appropriate alpha-numeric codes for diagnoses and procedures.
NewDigital Engineer - Backend INSPYR SolutionsDigital Engineer - BackendMerrifield, VAInformation collected and processed through your application with INSPYR Solutions (including any job applications you choose to submit) is subject to INSPYR Solutions’ Privacy Policy and INSPYR Solutions’ AI and Automated Employment Decision Tool Policy: https://www.inspyrsolutions.com/policies/ . This individual will help drive application modernization, mentor team members, and leverage emerging technologies, including AI-assisted development tools, to improve engineering efficiency and delivery quality.
Medical Billing Specialist (ON SITE in Virginia Beach) Thrive Proactive HealthMedical Billing Specialist (ON SITE in Virginia Beach)Virginia Beach, VAAs a Medical Billing Specialist, you will help manage the full claims cycle — from clean submission to final payment — across multiple service lines including Physical Therapy, Chiropractic, Acupuncture, and Massage. If you enjoy problem-solving, working across multiple systems, and being a part of the back end administrative workflows that make a thriving practice successful, this could be a strong fit.
Billing & Revenue Cycle Specialist - Occupational Health Augusta HealthBilling & Revenue Cycle Specialist - Occupational HealthFishersville, Virginia$20.51–$28.31The Billing & Revenue Cycle Specialist provides revenue cycle and administrative support for Occupational and Employee Health services, including billing, accounts receivable follow-up, denial resolution, cash handling, employer account maintenance, documentation management, and coordination of daily operational support activities. Augusta Health offers a full continuum of inpatient and outpatient services which includes Augusta Medical Center a 255 bed inpatient facility and Augusta Medical Group which is comprised of 40 practice locations and four urgent care locations.
NewRevenue Cycle Specialist Blue Ridge Medical CenterRevenue Cycle SpecialistArrington, VirginiaThe Revenue Cycle Specialist is responsible for all facets of the revenue cycle which includes but not limited to billing, coding, handling incoming payments, calculating patient intake costs and tracking accounts receivable to ensure accuracy. Review and resolution of medical A/R – including contacting patients for payments, negotiating payment arrangements, sending accounts to collections.
NewIPA Consultative Coder- $5k sign on bonus Humana IncIPA Consultative Coder- $5k sign on bonusNewport News, VA$59,300–$80,900 / yearTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Forward Deployed Engineer Rune TechnologiesForward Deployed EngineerArlington, VirginiaOur flagship product is TyrOS, an AI-enabled logistics command and control platform that gives commanders a single, real-time operating picture of their sustainment fight, from inventory and distribution to medical and operational planning, even in degraded and contested environments. In this role, you’ll take on a diverse set of challenges spanning full-stack development, networking, systems integration, and user-focused problem solving—always balancing speed, scalability, and sound engineering judgment.
Database Analyst/Architect - Suffolk, VA SercoDatabase Analyst/Architect - Suffolk, VANewport News, VADirect experience working with and knowledge in one or more of the following models and their parametric databases: Air Force Synthetic Environment for Reconnaissance and Surveillance/Multiple Unified Simulation Environment (AFSERS/MUSE); Joint Conflict and Tactical Simulation (JCATS); JCATS Low Overhead Driver (JLOD); Joint Deployment Logistics Model (JDLM); Joint Theater Level Simulation (JTLS); and real world systems such as the Global Command and Control System (GCCS) and Theater Battle Management Core System (TBMCS)/Kessel Run All Domain Operating System (KRADOS). As a member of the Joint Staff J7 team, the selected candidate will be part of the database team to provide the primary capability for the conceptualization and development of Order of Battle (OOB) databases and OOB Scenarios (OBS) for military Models and Simulations (M&S) used in computer-assisted joint and combined exercises and rehearsals.
EHR Encounter Billing Error Worklist Coordinator StratAcuity Staffing Partners IncEHR Encounter Billing Error Worklist CoordinatorRichmond, VA$35–$62 / hourIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. This position supports financial health and operational efficiency by identifying trends, monitoring key performance indicators (KPIs), and developing actionable insights to improve billing, collections, and reimbursement processes.
Medical Appointment Scheduler Virginia Cancer SpecialistsMedical Appointment SchedulerFairfax, VirginiaMay be responsible for follow up on all pre-operative tests to ensure cleared for surgical procedure and communicates with physician and patients if further testing is required before surgery is performed. May communicate to patient about surgeries or tests being scheduled and potential prep work needed, inquiring about test specifics from necessary parties and gathering patient information as needed.
NewRevenue Cycle Specialist (VA, Arrington) BLUE RIDGE MEDICAL CENTER INCRevenue Cycle Specialist (VA, Arrington)Arrington, VA$18.98–$21.94 / hourJob Summary: The Revenue Cycle Specialist is responsible for all facets of the revenue cycle which includes but not limited to billing, coding, handling incoming payments, calculating patient intake costs and tracking accounts receivable to ensure accuracy. Review and resolution of medical A/R - including contacting patients for payments, negotiating payment arrangements, sending accounts to collections.
Surgical Coordinator The Centers for Advanced Orthopaedics LLSurgical CoordinatorManassas, VAPart timeEnsures all pre-op orders are created and sent to the appropriate facility/facilities and/or sent to patients, including labs and/or any other testing required per physician protocol upon request of providers. The Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia.
NewMedical Claim Analyst CVS Health CorpMedical Claim AnalystVA$18.50–$35.29 / hourThis function includes, but is not limited to the following: Review provider re-submissions of ClaimsXten, Clinical Validation, Prospective Claim Accuracy, Novologix and DRG claims and resolve or prepare them for review by an Aetna clinician. The Medical Claim Analyst will be part of the Provider Coding and Reimbursement (PCR) team who reviews provider coding and reimbursement denial disputes from providers.
Lead Salesforce Developer PeopleNTech LLCLead Salesforce DeveloperAlexandria, VAIn order to deliver the quality solutions, candidate must have: Hands on experience in Salesforce OOB functionality and features like, custom objects and fields Page layouts, Workflow & process builder, Approval processes, Security implementation, Validation rules, Custom tabs, Reports and Dashboards, Security features: Roles, Profiles, Permission Sets & Groups, OWD, Sharing Rules, Apex Sharing, Sharing Sets etc. Must have skills: Candidate must have a minimum experience of around 8-10 years working in Force.com platform with 4-6 end to end implementation projects experience, minimum 2 years as a lead experience.
Senior Automation Engineer TEEMASenior Automation EngineerRichmond, VA$72.50Automation Solution: Design end-to-end automation workflows that integrate modern cloud apps like SharePoint with specific healthcare and data systems including CareRadius, Anchor Point, and Databricks. Design workflows that use Large Language Models to summarize clinical notes or extract data from unstructured provider emails instead of building brittle RPA loops.
Senior Full Stack Software Developer w/poly GRVTYSenior Full Stack Software Developer w/polySterling, VA$145,000–$185,000 / yearAs a Senior Full Stack Software Developer/Engineer, you will perform as an individual contributor and team member focused on developing and refining a command-and-control platform used by a wide variety of stakeholders. Pay Range: At GRVTY, we understand that compensation is influenced by many factors—such as geographic location, federal contract labor categories, wage rates, prior experience, skillsets, education, and certifications.
Insurance Verification Coordinator Goodwin House IncInsurance Verification CoordinatorVA$32–$34 / hourValuing Our Team Members: By prioritizing team member satisfaction, we create a fulfilling work environment with competitive benefits, work-life balance, and recognition programs, ensuring our team feels appreciated and valued. Job Duties: Benefit Verification: Contacting insurance carriers or utilizing payer portals to verify active coverage, deductibles, co-pays, and network status prior to appointments.
Medical Records Coordinator Avardis HealthMedical Records CoordinatorNorfolk, VAFull timeFrom telemedicine services and remote health monitoring to advanced diagnostic tools and customized wellness programs, we use innovation to make patient care accessible, efficient, and effective. We strive to be the leading provider of compassionate, comprehensive care that supports the physical, mental, and emotional well-being of patients, while also promoting respect and autonomy.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)VA$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
Coder Lead - Risk Management Advocate Health and Hospitals CorporationCoder Lead - Risk ManagementVirginiaRemoteHeadquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. Codes routine to complex procedures and diagnoses including hospital-based or surgery center surgical procedures using ICD, CPT, and HCPCS coding guidelines, procedures and protocols for government and commercial payers.
Sr. Software Engineer - AI Innovation Team Boeing Employees Credit UnionSr. Software Engineer - AI Innovation TeamVA$141,800–$173,300 / yearWHAT YOU'LL DO: Build AI‑Powered Features: Develop and implement moderate to complex application features and services, including high‑impact components that integrate AI/ML models or AI service APIs. From integrating machine learning models and generative AI services to guiding best practices and architecture decisions, your work will directly influence performance, innovation, and long-term technical direction.
Adjunct Faculty - Professional and Career Studies Division Commonwealth of VirginiaAdjunct Faculty - Professional and Career Studies DivisionLynchburg, VA$793–$1,058Central Virginia Community College is seeking qualified individuals to serve as adjunct faculty in the Professional and Career Studies Division, teaching Professional or Technical courses in Applied Science or Non-Associate Degree Occupational Fields. Adjunct faculty members are responsible for effectively planning and teaching courses in a classroom, laboratory, and online environment to students with a variety of academic backgrounds and experiences.
RN - Trauma Staff Nurse Manager Children's Hospital of The King's DaughtersRN - Trauma Staff Nurse ManagerNorfolk, VAThe RN Trauma Staff Nurse Manager is responsible for managing trauma service personnel, coordinating the workflow and functions of the Trauma Service Line to facilitate safe and efficient workflow and clinical practices. • Demonstrated technical and professional knowledge unique to the business and/or clinical operations of the designated services (Nursing, Financial, Human Resource, Information Systems, Risk, Governance, Regulations, Planning, and Marketing).
Mid-Level Software Developer Redhorse CorporationMid-Level Software DeveloperChantilly, VAWe’re looking for thoughtful, skilled professionals who thrive as trusted partners building technology-agnostic solutions and want to apply their talents supporting customers with difficult and important mission sets. We are looking for a Mid-Level Software Developer to join our team and contribute to the design, development, and maintenance of a web-based tool used by non-technical end users.
Lead Security Engineer Revolutional, LLCLead Security EngineerMclean, VA$140,000–$200,000 / yearWe apply modern capabilities, including AI/ML, cloud, cybersecurity, and IT modernization to solve complex challenges, enable faster and more secure operations, and drive measurable mission outcomes. This program is driving a large-scale transformation of systems into a data-centric, cloud-native ecosystem capable of supporting high-volume, near real-time data processing and advanced analytics.
Vice Chair for Clinical Affairs, Department of Pediatrics Commonwealth of VirginiaVice Chair for Clinical Affairs, Department of PediatricsCharlottesville, VASpecific Standing Commitments (including but not limited to): Regular offsite clinic visits (often with the Chair)-including at community practice group sites and practices outside UVA-to maintain visibility and support operational alignment. The VCCA collaborates closely with the Children"s Hospital Inpatient Associate Chief Medical Officer (ACMO) as well as Ambulatory ACMO on matters that span inpatient and ambulatory care, but operational authority of these domains rests with the respective ACMOs.
Development Manager / Technical Lead for Engineering Consultant Moffatt & NicholDevelopment Manager / Technical Lead for Engineering ConsultantNorfolk, VAThe firm provides clients worldwide with customized service and a level of excellence that have become the firm's hallmark in several primary practice areas - ports and harbors; coastal, environmental and water resources; urban waterfronts and marinas; transportation, bridges and rail; inspection and rehabilitation; and energy. As part of the IT Group, the Development Manager / Technical Lead is a highly experienced technical leader and working manager responsible for leading and empowering the development team to deliver high-quality software solutions that align with the firm's objectives.
Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote University of VirginiaRegistered Nurse (RN) - Clinical Documentation Specialist (Part Time) RemoteCharlottesville, VARemoteThe Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of coding and increased coding accuracy. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures.
Registered Nurse (RN) - Clinical Documentation Specialist (Remote) University of VirginiaRegistered Nurse (RN) - Clinical Documentation Specialist (Remote)Charlottesville, VARemoteThe Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of coding and increased coding accuracy. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures.
Health Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor) Commonwealth of VirginiaHealth Careers- Workforce Development Non-Credit Instructor- Adjunct (Medical Coder/Auditor)Suffolk, 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.
Senior Manager, Market Access & Reimbursement GE HealthCare Technologies IncSenior Manager, Market Access & ReimbursementVARemote$145,600–$218,400 / yearThis role will develop and execute payer engagement strategies, influence coverage decisions, and drive patient access through strong partnerships with payers, providers, and internal stakeholders. Collaborate with Evidence Generation/HEOR and Clinical teams to deliver compelling value propositions, clinical evidence, and economic models to payers and providers.
NewTrauma Registrar-Labor Pool (In person-NOT remote) Riverside HospitalTrauma Registrar-Labor Pool (In person-NOT remote)Newport News, VirginiaRemoteAdditionally, this individual coordinates the collection and analysis of statistical data related to the clinical outcomes for the designated patient populations, supporting the DNV initiatives for outcomes research. Certified Specialist in Trauma Registries (CSTR) - American Trauma Society (ATS) Certification Examination for Trauma Registrars within 2 Years(Required).
Clinical Documentation Specialist Commonwealth of VirginiaClinical Documentation SpecialistCharlottesville, VAThe Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients severity of illness is accurately portrayed in the medical record for specificity of coding and increased coding accuracy. 2023-2024 U.S. News & World Report Best Hospitals" guide rates UVA Health University Medical Center as High Performing" in 5 adult specialties and 14 conditionsprocedures.
Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote Commonwealth of VirginiaRegistered Nurse (RN) - Clinical Documentation Specialist (Part Time) RemoteCharlottesville, VARemoteThe Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of coding and increased coding accuracy. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures.
Clinical Operations Manager Old Dominion UniversityClinical Operations ManagerNorfolk, VA$65,000–$75,000 / yearThis is highly responsible administrative work that involves overseeing and coordinating the daily operations of the rehabilitation facility; supervising business office staff; overseeing patient and third party payer billing; and communicating directly with the clinic director, university employees, students, referral sources, insurance companies, patients, and visitors. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or consistent with contractor's legal duty to furnish information.
Accounts Receivable Specialist United Wound HealingAccounts Receivable SpecialistVARemote$24–$27 / hourClaims Knowledge: Strong ability to read and understand EOBs; deep understanding of insurance denials and unresolved claims resolution; knowledge of ICD-10, CPT, HCPCS, and CMS-1500 claim format. Investigate and resolve unresolved claims (denials, underpayments, delayed payments); troubleshoot claim data and submit written appeals with supporting documentation and timely follow-up.
Compliance Specialist I (2815) - Administration TPMGCompliance Specialist I (2815) - AdministrationNewport News, VirginiaA Compliance Specialist I audits medical record documentation to identify under coded and up coded services; prepares reports of findings and meets with providers to provide education and training on accurate coding practices and compliance issues. Tidewater Physicians Multispecialty Group (TPMG) is comprised of over 200 physicians and advanced practice clinicians and is the largest physician-owned groups in Tidewater.
Executive Director of Revenue Cycle Management Eastern Virginia Medical SchoolExecutive Director of Revenue Cycle ManagementNorfolk, VAThe ED RCM operationalizes revenue cycle strategy, drives KPI performance, and ensures Epic Revenue Cycle-enabled workflows support accurate charge capture, timely billing, regulatory compliance, and optimal cash flow, with scope and priorities aligned to evolving organizational needs, reporting jointly to the Medical Group Chief Executive Officer (CEO) and ODU Chief Revenue Officer (CRO). Department Objective: The Medical Group Revenue Cycle function ensures the financial integrity and sustainability of Medical Group operations by delivering accurate charge capture, compliant billing, effective payer management, and timely collections across all practices.