Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNSuffolk, VAOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
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.
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.
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).
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).
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.
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.
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.
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.
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.
Billing Follow-Up, CRMG Chesapeake Regional HealthcareBilling Follow-Up, CRMGChesapeake, VirginiaFollow-up on all outstanding patient account balances at 90-days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability using the A/R aged reports. • Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
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.
Accounts Payable & Billing Specialist AIR Control ConceptsAccounts Payable & Billing SpecialistNorfolk, VAFull timeSupporting multiple operating companies across the AIR Control Concepts family, this role oversees the direct processing of payable invoices and payments, manages expense accounts and reports, and owns customer billing responsibilities from invoice generation through resolution of billing discrepancies. By leveraging our collective assets, knowledge, and resources, we empower our member firms to deliver unparalleled service, safety, and efficiency to clients across healthcare, commercial, and residential sectors.
Accounts Payable & Billing Specialist Building Controls and Services IncAccounts Payable & Billing SpecialistNorfolk, VA$50,000–$55,000 / yearSupporting multiple operating companies across the AIR Control Concepts family, this role oversees the direct processing of payable invoices and payments, manages expense accounts and reports, and owns customer billing responsibilities from invoice generation through resolution of billing discrepancies. By leveraging our collective assets, knowledge, and resources, we empower our member firms to deliver unparalleled service, safety, and efficiency to clients across healthcare, commercial, and residential sectors.
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.
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 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.
Front Desk Receptionist - Medical Office Thrive Proactive HealthFront Desk Receptionist - Medical OfficeVirginia Beach, VAFull timeThe receptionist's type duties include answering phones, responding to online leads, greeting clients, scheduling and confirming appointments, inputting and juggling a scheduling system and an electronic medical records system. Ideal candidate can confidently juggle multiple tasks at the front end of the business, and prioritize work efforts to assure clients have an enjoyable experience.
Manager, Budget, Planning, and Analysis ITA INTERNATIONAL, LLCManager, Budget, Planning, and AnalysisNewport News, VA$80,000–$112,000 / yearThe Manager, Budget Planning and Analysis is responsible for leading the company''s financial planning, budgeting, forecasting, and business analysis functions in support of corporate operations and government contract execution. Serves as project controller by monitoring revenue and expense funds, establishing new contracts and/or modifications, WBS planning lines, time sheet coding, and mitigating program cost and scheduling of risks.
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.
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.
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.
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.
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.
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.
NewClinical 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.
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.
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.
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.
Referral & Insurance Specialist – In Motion Physical Therapy - Town Center Bon Secours Mercy HealthReferral & Insurance Specialist – In Motion Physical Therapy - Town CenterVirginia Beach, VirginiaBon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care.
Referral & Insurance Specialist - In Motion Physical Therapy - Town Center Bon Secours Mercy Health IncReferral & Insurance Specialist - In Motion Physical Therapy - Town CenterVirginia Beach, VABon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care.
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.
AR 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.
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.
Administrative Director Chesapeake Regional HealthcareAdministrative DirectorChesapeake, VirginiaAchieves organizational patient satisfaction goal and ensures self and staff demonstrate consistent use of AIDET (Acknowledge patient, Introduce yourself, provide Duration/timeline for test, Explain the process & Thank them for choosing the center) and HEAL (Hear them out, Empathize, Apologize, & Leap into action to solve) when interacting with patients/customer.â¯â¯ Works with and as an extension of HR department to perform local HR responsibilities as needed or directed to ensure established and communicated procedures are followedat the center level, and proper completion and hand-off of required paperwork to ensure they are submitted within the established timeframe.
Patient Access Liaison - TEPEZZA - Norfolk, VA Amgen IncPatient Access Liaison - TEPEZZA - Norfolk, VANorfolk, VA$158,394–$185,578 / yearIn addition to the base salary, Amgen offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including: Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. The Patient Access Liaison (PAL) is a field-based patient access and reimbursement specialist responsible for supporting patients, caregivers, healthcare providers, and sites of care in navigating insurance coverage and reimbursement pathways for Amgen therapies.
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.
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.
Physician 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.
Epic Revenue Cycle Systems Analyst - Back End Chesapeake Regional HealthcareEpic Revenue Cycle Systems Analyst - Back EndChesapeake, VirginiaThe analyst partners closely with Revenue Cycle leadership, Revenue Integrity, Patient Access, Patient Financial Services, HIM, Compliance, and IT to ensure Epic revenue cycle applications are aligned with operational needs, regulatory requirements, and organizational financial goals. This role reports directly to the Senior Director of Revenue Cycle and operates as a trusted subject matter expert (SME) within the Revenue Cycle organization, while maintaining strong partnership with Information Technology.
Epic Revenue Cycle Systems Analyst - Front End Chesapeake Regional HealthcareEpic Revenue Cycle Systems Analyst - Front EndChesapeake, VirginiaThe analyst partners closely with Revenue Cycle leadership, Revenue Integrity, Patient Access, Patient Financial Services, HIM, Compliance, and IT to ensure Epic revenue cycle applications are aligned with operational needs, regulatory requirements, and organizational financial goals. This role reports directly to the Senior Director of Revenue Cycle and operates as a trusted subject matter expert (SME) within the Revenue Cycle organization, while maintaining strong partnership with Information Technology.
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.
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.
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.