NewForensic Medical Coder Ensemble Health PartnersForensic Medical CoderRichmond, VARemote$24.65–$27.10 / hourDemonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects.
NewSpecialized Coder - Cardiology, Vascular and CVTS Ensemble Health PartnersSpecialized Coder - Cardiology, Vascular and CVTSRichmond, VARemote$29.75–$32 / hourExtensive knowledge/experience in physician coding with expert knowledge in Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery coding specialty and the ability to provide education/support to coding team and providers. Remains abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations for accuracy in Coding and mentors team members regarding coding guidelines and accuracy.
Medical Coder Ampcus IncorporatedMedical CoderRichmond, VAYou will work directly within our existing complaint database—not a contractor-managed system—to ensure timely continuity of daily operational workflows. We are seeking experienced Medical Coders to support post-market surveillance and adverse event case processing tied to FDA reporting requirements.
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.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)VA$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
NewCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorRichmond, VARemote$57,400–$99,000 / yearReporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts.
Medical Coding Education Associate Elevance Health IncMedical Coding Education AssociateRichmond, 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 Education Associate Elevance HealthMedical Coding Education AssociateRichmond, 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 Educator Humana IncMedical Coding EducatorVARemote$59,300–$80,900 / yearWork at Home Requirements: To 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. To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Trauma Registrar - Southside Medical Center Bon Secours Mercy HealthTrauma Registrar - Southside Medical CenterPetersburg, VirginiaCertified Abbreviated Injury Scale Specialist (CAISS), Certified Specialist in Trauma Registries (CSTR), Certified Professional Coder (CPC); Certified Coding Specialist (CCS); Registered Health Information Administrator (RHIA). The Trauma Registrar will assign ICD-10 CM diagnosis codes for diagnosis, comorbidities and complications and ICD-PCS procedure codes for procedures according to the established and published Official Coding Guidelines.
Trauma Registrar - Southside Medical Center Bon Secours Mercy Health IncTrauma Registrar - Southside Medical CenterPetersburg, VALicensure, Certification, or Registration Preferred for Hire: Certified Abbreviated Injury Scale Specialist (CAISS), Certified Specialist in Trauma Registries (CSTR), Certified Professional Coder (CPC); Certified Coding Specialist (CCS); Registered Health Information Administrator (RHIA). The Trauma Registrar will assign ICD-10 CM diagnosis codes for diagnosis, comorbidities and complications and ICD-PCS procedure codes for procedures according to the established and published Official Coding Guidelines.
Physician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorVARemote$57,400–$99,000 / yearThe Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Benefits Coding Analyst Sentara HospitalsBenefits Coding AnalystRichmond, VirginiaRemote2+ years of medical coding or billing experience specifically within reimbursement, coding, claims processing, claims auditing and /or various payment methodologies (required)• Experience in both established benefit coding environments as well as experience in determination of coding requirements for new benefits (preferred)• Experience resolving billing and claims issues related to benefit to code assignment.•Thorough knowledge of anatomy and medical terminology• Expertise with NCCI (National Correct Coding Initiative) guidelines• Knowledge or direct experience processing Government program or commercial health claims for an MCO• Experience with ICD-10 CM, CPT, HCPCS, QNXT. • Certified Professional Coder certification (CPC) (required)• Certified Inpatient Coder (CIC) (preferred)• Medical Assistant Certification (preferred)Note: CIC is required for advancement to Level 2 and Level 3. Experience:
Benefits Coding Analyst Sentara Healthcare IncBenefits Coding AnalystRichmond, VARemoteNote: CIC is required for advancement to Level 2 and Level 3. Experience: • 2+ years of medical coding or billing experience specifically within reimbursement, coding, claims processing, claims auditing and /or various payment methodologies (required) • Experience in both established benefit coding environments as well as experience in determination of coding requirements for new benefits (preferred) • Experience resolving billing and claims issues related to benefit to code assignment. • Thorough knowledge of anatomy and medical terminology • Expertise with NCCI (National Correct Coding Initiative) guidelines • Knowledge or direct experience processing Government program or commercial health claims for an MCO • Experience with ICD-10 CM, CPT, HCPCS, QNXT.
NewCharge Master Analyst Sutter HealthCharge Master AnalystRichmond, VA$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
NewCompliance Auditor Sr Virginia Commonwealth University HealthCompliance Auditor SrRichmond, VAPreferred:Licensure Required: N/A Licensure Preferred:Certification Required:Licensure, Certification, or Registration Requirements for Hire:One (1) of the following current AAPC certifications:* Certified Professional Coder (CPC)* Certified Professional Coder–Hospital (CPC–H) Certified Professional Coder–Payer (CPC-P)* CPMA Certified Professional Medical Auditor (CPMA) OROne (1) of the following current AHIMA current certifications:* Certified Coding Associate (CCA)* Certified Coding Specialist (CCS)* Certified Coding Specialist–Physician Based (CCS-P) OR* Other current coding related certificationCertification Preferred:**Minimum Qualifications**Years and Type of Required Experience:Minimum of five (5) years of progressively responsible experience in a healthcare environment to include, but not limited to, the following:Working with electronic health records to analyze and interpret clinical documentation for compliance purposes. \*\*\*To be considered for the role, you must permanently reside in one of the following states: Alabama, Arkansas, Florida, Georgia, Kentucky, Kansas, Maryland, Michigan, Mississippi, Missouri, North Carolina, Ohio, South Carolina, Tennessee, Texas, Virginia, or West Virginia\*\*\* The Senior Compliance Auditor reviews complex audits, performs quality assurance reviews, acts as a peer mentor, and assists management with onboarding process of new auditors.
NewCompliance Auditor Sr VCU HealthCompliance Auditor SrRichmond, VAPhysical Requirements: Hazards: Depth perception, Use of Latex Gloves, Exposure to toxic/caustic/chemicals/detergents, Exposure to moving mechanical parts, Exposure to dust/fumes, Exposure to potential electrical shock, Exposure to high pitched noises, Gaseous risk exposure. Years and Type of Required Experience: Minimum of five (5) years of progressively responsible experience in a healthcare environment to include, but not limited to, the following: Working with electronic health records to analyze and interpret clinical documentation for compliance purposes.
NewSenior Coding Associate - Customer Insights athenahealth IncSenior Coding Associate - Customer InsightsVA$77,000–$131,000 / yearWe offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. What we can do for you: Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
Senior Trauma Registrar Virginia Commonwealth University HealthSenior Trauma RegistrarRichmond, VAThis job supports the VCU Health Trauma Program and organizational requirements for verification as a Level 1 Trauma Center by the Commonwealth of Virginia and the American College of Surgeons Committee on Trauma by maintaining a unique database called the Trauma Registry. This includes identification of cases for inclusion into the trauma registry database, abstraction of data from various sources including the electronic medical record, prehospital databases, and other data sources.
NewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTRichmond, VARemote$35–$45 / hourBy joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.* 2,500 Sign on Bonus **As an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Systems: Cerner PowerChart, 3M360.What you will bring to the table:3+ years experience coding and auditingAssociate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCSPreferred: CCS, RHIT, or RHIA credentials.
Provider Reimbursement Manager- Patient Safety Elevance Health IncProvider Reimbursement Manager- Patient SafetyRichmond, VA$80,940–$134,190 / yearMinimum Requirements: Requires a BA/BS degree in a related field and a minimum of 7 years reimbursement experience including performing detailed financial modeling and economic analyses; 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.
Provider Reimbursement Policy Manager- Patient Safety Elevance HealthProvider Reimbursement Policy Manager- Patient SafetyRichmond, VA$80,940–$134,190 / yearMinimum Requirements: Requires a BA/BS degree in a related field and a minimum of 7 years reimbursement experience including performing detailed financial modeling and economic analyses; 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.
NewCall Center Specialist Pulmonary Associates Of Richmond IncCall Center SpecialistRichmond, VARemote$16.50–$18.50 / hourThe Position: PAR is seeking an enthusiastic Call Center Specialists to work in the call center answering all incoming phone calls for the practice. Qualifications for the Call Center Specialist: Education: High School Diploma or equivalent Experience: One year experience in a call center environment and/ or in a medical practice is preferred.